Provider Demographics
NPI:1619379765
Name:HAYS, JUSTIN (LAC)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:HAYS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 LOWER HONOAPIILANI RD
Mailing Address - Street 2:SUITE B2
Mailing Address - City:LAHAINA
Mailing Address - State:HI
Mailing Address - Zip Code:96761-8985
Mailing Address - Country:US
Mailing Address - Phone:808-387-9647
Mailing Address - Fax:
Practice Address - Street 1:3600 LOWER HONOAPIILANI RD
Practice Address - Street 2:SUITE B2
Practice Address - City:LAHAINA
Practice Address - State:HI
Practice Address - Zip Code:96761-8985
Practice Address - Country:US
Practice Address - Phone:808-387-9647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1026171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist