Provider Demographics
NPI:1770944175
Name:HAYES, TIMOTHY (DVM)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:
Last Name:HAYES
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4997 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9729
Mailing Address - Country:US
Mailing Address - Phone:740-705-0398
Mailing Address - Fax:
Practice Address - Street 1:4997 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9729
Practice Address - Country:US
Practice Address - Phone:740-705-0398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-11
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHVETERINARIAN 3716282NR1301X
OH3716282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural