Provider Demographics
NPI:1497750475
Name:HAYES, SEAN J (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:J
Last Name:HAYES
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 1:300 WEYMAN RD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-1520
Mailing Address - Country:US
Mailing Address - Phone:412-881-7060
Mailing Address - Fax:412-881-3409
Practice Address - Street 1:4701 BAPTIST ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-1176
Practice Address - Country:US
Practice Address - Phone:412-881-7060
Practice Address - Fax:412-881-3409
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006978L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01667114Medicaid
PA964591OtherHIGHMARK/BLUES
PA001345Medicare ID - Type UnspecifiedCHIROPRACTOR
PA01667114Medicaid