Provider Demographics
NPI:1861511388
Name:HAYES, RON W (DC)
Entity Type:Individual
Prefix:DR
First Name:RON
Middle Name:W
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 1:131 RT. 44
Mailing Address - Street 2:PO BOX 505
Mailing Address - City:MILLERTON
Mailing Address - State:NY
Mailing Address - Zip Code:12546
Mailing Address - Country:US
Mailing Address - Phone:518-789-3355
Mailing Address - Fax:518-789-3646
Practice Address - Street 1:131 RT. 44
Practice Address - Street 2:
Practice Address - City:MILLERTON
Practice Address - State:NY
Practice Address - Zip Code:12546
Practice Address - Country:US
Practice Address - Phone:518-789-3355
Practice Address - Fax:518-789-3646
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004092-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX26031Medicare ID - Type UnspecifiedMEDICARE ID