Provider Demographics
NPI:1235211921
Name:HAYDEN, MATTHEW CHARLES (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:CHARLES
Last Name:HAYDEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 N 3RD ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-2367
Mailing Address - Country:US
Mailing Address - Phone:901-521-9355
Mailing Address - Fax:901-521-9399
Practice Address - Street 1:45 N 3RD ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2367
Practice Address - Country:US
Practice Address - Phone:901-521-9355
Practice Address - Fax:901-521-9399
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20-4348587111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3670058Medicare PIN
TNV00366Medicare UPIN