Provider Demographics
NPI:1477700995
Name:HYLAND, BRIAN N
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:N
Last Name:HYLAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050-1307
Mailing Address - Country:US
Mailing Address - Phone:513-256-9441
Mailing Address - Fax:
Practice Address - Street 1:7 EAST AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:OH
Practice Address - Zip Code:45050-1307
Practice Address - Country:US
Practice Address - Phone:513-256-9441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3942111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor