Provider Demographics
NPI:1578657524
Name:HAYS, NADINE ALEXANDRA (DC)
Entity Type:Individual
Prefix:DR
First Name:NADINE
Middle Name:ALEXANDRA
Last Name:HAYS
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 1:1855 DEAMERLYN DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9059
Mailing Address - Country:US
Mailing Address - Phone:717-633-1945
Mailing Address - Fax:717-633-1655
Practice Address - Street 1:123 YORK ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3113
Practice Address - Country:US
Practice Address - Phone:717-633-1945
Practice Address - Fax:717-633-1655
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007041L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAHA003670Medicare ID - Type Unspecified
PAU68621Medicare UPIN