Healthcare Provider Details

I. General information

NPI: 1548045628
Provider Name (Legal Business Name): HAYLIE HALE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 PULASKI HWY STE 4&5
BEAR DE
19701-5214
US

IV. Provider business mailing address

1010 CONCORD AVE STE 101
WILMINGTON DE
19802-3366
US

V. Phone/Fax

Practice location:
  • Phone: 302-554-5421
  • Fax:
Mailing address:
  • Phone: 302-777-5551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF1-0011114
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: