Provider Demographics
NPI:1790050086
Name:HAYES CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:HAYES CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:207-797-5868
Mailing Address - Street 1:808 STEVENS AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-2623
Mailing Address - Country:US
Mailing Address - Phone:207-797-5868
Mailing Address - Fax:207-797-5868
Practice Address - Street 1:808 STEVENS AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-2623
Practice Address - Country:US
Practice Address - Phone:207-797-5868
Practice Address - Fax:207-797-5868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR570111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty