Healthcare Provider Details

I. General information

NPI: 1144668419
Provider Name (Legal Business Name): AARON BERNARD HAIRE DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2013
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 MEETING ST
WEST COLUMBIA SC
29169-7535
US

IV. Provider business mailing address

115 LINCOLN ST
FRAMINGHAM MA
01702-6358
US

V. Phone/Fax

Practice location:
  • Phone: 727-796-6900
  • Fax: 727-669-8417
Mailing address:
  • Phone: 508-383-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1301
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: