Provider Demographics
NPI:1154587160
Name:HAHEY, MATHEW JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:MATHEW
Middle Name:JOSEPH
Last Name:HAHEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 LIGONIER ST
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-2954
Mailing Address - Country:US
Mailing Address - Phone:724-539-2009
Mailing Address - Fax:724-539-1179
Practice Address - Street 1:1828 LIGONIER ST
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-2954
Practice Address - Country:US
Practice Address - Phone:724-539-2009
Practice Address - Fax:724-539-1179
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA132833Medicare UPIN