Provider Demographics
NPI:1356473268
Name:HAYES, JOHN FREDERICK III (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FREDERICK
Last Name:HAYES
Suffix:III
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 1:58 WASHINGTON ST
Mailing Address - Street 2:UNIT 6
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-1691
Mailing Address - Country:US
Mailing Address - Phone:207-797-5868
Mailing Address - Fax:207-797-5868
Practice Address - Street 1:58 WASHINGTON ST
Practice Address - Street 2:UNIT 6
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-1691
Practice Address - Country:US
Practice Address - Phone:207-321-9087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00599111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEME0207OtherHARVARD PILGRIM
ME247883400OtherASC OWCP
ME025949OtherANTHEM
ME111860000Medicaid
ME1042078OtherAETNA
ME111860000Medicaid
ME025949OtherANTHEM