Provider Demographics
NPI:1467535526
Name:HAYES, COLETTE MARIANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:COLETTE
Middle Name:MARIANNE
Last Name:HAYES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 ALLAIRE ROAD
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-2401
Mailing Address - Country:US
Mailing Address - Phone:732-449-4121
Mailing Address - Fax:732-974-8855
Practice Address - Street 1:1000 ALLAIRE ROAD
Practice Address - Street 2:
Practice Address - City:SPRING LAKE HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07762-2401
Practice Address - Country:US
Practice Address - Phone:732-449-4121
Practice Address - Fax:732-974-8855
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2327111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HA450452Medicare UPIN
NJHA450452Medicare ID - Type Unspecified