Provider Demographics
NPI:1437180627
Name:HARE, ALAINYA (DPM)
Entity Type:Individual
Prefix:
First Name:ALAINYA
Middle Name:
Last Name:HARE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 W G ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-3700
Mailing Address - Country:US
Mailing Address - Phone:423-547-3338
Mailing Address - Fax:423-543-1586
Practice Address - Street 1:2216 W G ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-3700
Practice Address - Country:US
Practice Address - Phone:423-547-3338
Practice Address - Fax:423-543-1586
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN553213E00000X
NC460213E00000X
VA0103001043213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2234328OtherCIGNA
TN4028783OtherBCBS
TN480033748OtherRAILROAD MEDICARE
TN4340220001Medicare NSC
TN2234328OtherCIGNA
TN3352994Medicare ID - Type Unspecified