MEDICARE: DR. COLETTE MARIANNE HAYES DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2327	NJ

General Provider Information

NPI Number	:	1467535526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLETTE MARIANNE HAYES DC

Provider Business Mailing Address
First Line	:	1000 ALLAIRE ROAD
Second Line	:
City	:	SPRING LAKE HEIGHTS
State	:	NJ
Zip	:	07762-2401
Country	:	US
Telephone Number	:	732-449-4121
Fax Number	:	732-974-8855

Provider Business Practice Location Address
First Line	:	1000 ALLAIRE ROAD
Second Line	:
City	:	SPRING LAKE HEIGHTS
State	:	NJ
Zip	:	07762-2401
Country	:	US
Telephone Number	:	732-449-4121
Fax Number	:	732-974-8855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	11/08/2024

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