1538291356 NPI number — DR. JOSEPH M HAYES D.C.

Table of content: DR. JOSEPH M HAYES D.C. (NPI 1538291356)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538291356 NPI number — DR. JOSEPH M HAYES D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAYES
Provider First Name:
JOSEPH
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538291356
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1321 WASHINGTON AVE
Provider Second Line Business Mailing Address:
SUITE 212
Provider Business Mailing Address City Name:
PORTLAND
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04103-3636
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-878-3030
Provider Business Mailing Address Fax Number:
207-878-3211

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1321 WASHINGTON AVE
Provider Second Line Business Practice Location Address:
SUITE 212
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04103-3636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-878-3030
Provider Business Practice Location Address Fax Number:
207-878-3211
Provider Enumeration Date:
03/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CR1090 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 040515 . This is a "ANTHEM" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: MN0093 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 2290456 . This is a "AETNA" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 216250000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 610886700 . This is a "ASC OWCP" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com