=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972038271
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOSEPH O HAYES DBA HAYES TRANSPORTATION SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2017
-----------------------------------------------------
Last Update Date | 04/24/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 29 W HAZEL ST
-----------------------------------------------------
City | CORNING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14830-1935
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-329-6788
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 29 W HAZEL ST
-----------------------------------------------------
City | CORNING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14830-1935
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. JOSEPH OAKLEY HAYES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 607-329-6788
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 344600000X
-----------------------------------------------------
Taxonomy Name | Taxi
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------