MEDICARE: MS. LEAH J HAYS PA-C

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	363AM0700X	Medical Physician Assistant	1117	NE

General Provider Information

NPI Number	:	1942251715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LEAH J HAYS PA-C

Provider Business Mailing Address
First Line	:	336 S 9TH ST
Second Line	:
City	:	DAVID CITY
State	:	NE
Zip	:	68632-2116
Country	:	US
Telephone Number	:	402-367-3193
Fax Number	:	402-367-3261

Provider Business Practice Location Address
First Line	:	336 S 9TH ST
Second Line	:
City	:	DAVID CITY
State	:	NE
Zip	:	68632-2116
Country	:	US
Telephone Number	:	402-367-3193
Fax Number	:	402-367-3261

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	06/27/2008

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