Healthcare Provider Details

I. General information

NPI: 1356473268
Provider Name (Legal Business Name): JOHN FREDERICK HAYES III D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 01/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 WASHINGTON ST UNIT 6
NEWPORT RI
02840-1691
US

IV. Provider business mailing address

58 WASHINGTON ST UNIT 6
NEWPORT RI
02840-1691
US

V. Phone/Fax

Practice location:
  • Phone: 207-321-9087
  • Fax:
Mailing address:
  • Phone: 207-797-5868
  • Fax: 207-797-5868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDCP00599
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: