Provider Demographics
NPI:1942315288
Name:HAYDU, AARON J (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:J
Last Name:HAYDU
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 1:25 BIDLACK ST
Mailing Address - Street 2:
Mailing Address - City:FORTY FORT
Mailing Address - State:PA
Mailing Address - Zip Code:18704-4120
Mailing Address - Country:US
Mailing Address - Phone:570-283-1011
Mailing Address - Fax:570-283-1465
Practice Address - Street 1:417 MARKET ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5418
Practice Address - Country:US
Practice Address - Phone:570-283-1011
Practice Address - Fax:570-283-1465
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007905L111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU83547Medicare UPIN
PA045163Medicare ID - Type Unspecified