MEDICARE: DR. WAYNE E HACHEY D.O.

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	2080N0001X	Neonatal-Perinatal Medicine Physician	H0041544	MD
2	2083P0901X	Public Health & General Preventive Medicine Physician	H0041544	MD

General Provider Information

NPI Number	:	1649679754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAYNE E HACHEY D.O.

Provider Business Mailing Address
First Line	:	11 LAUREL CT
Second Line	:
City	:	NELLYSFORD
State	:	VA
Zip	:	22958-9554
Country	:	US
Telephone Number	:	434-465-0051
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 LAUREL CT
Second Line	:
City	:	NELLYSFORD
State	:	VA
Zip	:	22958-9554
Country	:	US
Telephone Number	:	434-465-0051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2014
Last Update Date	:	08/14/2014

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