Provider Demographics
NPI:1649679754
Name:HACHEY, WAYNE E (DO)
Entity type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:E
Last Name:HACHEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LAUREL CT
Mailing Address - Street 2:
Mailing Address - City:NELLYSFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22958-9554
Mailing Address - Country:US
Mailing Address - Phone:434-465-0051
Mailing Address - Fax:
Practice Address - Street 1:11 LAUREL CT
Practice Address - Street 2:
Practice Address - City:NELLYSFORD
Practice Address - State:VA
Practice Address - Zip Code:22958-9554
Practice Address - Country:US
Practice Address - Phone:434-465-0051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH00415442080N0001X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine