Healthcare Provider Details

I. General information

NPI: 1609800325
Provider Name (Legal Business Name): LOUISE ANNETTE HAYES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 TRAILWOOD DR
YOUNGSTOWN OH
44512-5008
US

IV. Provider business mailing address

901 TRAILWOOD DR
YOUNGSTOWN OH
44512-5008
US

V. Phone/Fax

Practice location:
  • Phone: 330-726-3000
  • Fax: 330-726-2612
Mailing address:
  • Phone: 330-726-3000
  • Fax: 330-726-2612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35052423
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: