Provider Demographics
NPI:1649340688
Name:HAYNES, JEFFREY D (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:D
Last Name:HAYNES
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 1:3865 STOCKDALE HWY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-2188
Mailing Address - Country:US
Mailing Address - Phone:661-322-2875
Mailing Address - Fax:661-397-8882
Practice Address - Street 1:3865 STOCKDALE HWY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2188
Practice Address - Country:US
Practice Address - Phone:661-322-2875
Practice Address - Fax:661-397-8882
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21998111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor