MEDICARE: HAYDEN CHIROPRACTIC L.L.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3204	MA

General Provider Information

NPI Number	:	1083044036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAYDEN CHIROPRACTIC L.L.C

Provider Business Mailing Address
First Line	:	39 NEWBURY ST
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02171-1710
Country	:	US
Telephone Number	:	860-995-5486
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 LAFAYETTE SQ
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01832-4739
Country	:	US
Telephone Number	:	860-995-5486
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. SCOTT CHARLES HAYDEN
Credential	:	D.C.
Telephone Number	:	860-995-5486

Provider Enumeration Date	:	11/12/2013
Last Update Date	:	11/12/2013

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