Provider Demographics
NPI:1306142450
Name:HAYS CHIROPRATIC CLINIC P.A.
Entity type:Organization
Organization Name:HAYS CHIROPRATIC CLINIC P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:479-474-7576
Mailing Address - Street 1:619 FAYETTEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-3418
Mailing Address - Country:US
Mailing Address - Phone:479-474-7576
Mailing Address - Fax:479-471-5176
Practice Address - Street 1:619 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-3418
Practice Address - Country:US
Practice Address - Phone:479-474-7576
Practice Address - Fax:479-471-5176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR111N00000XOtherTAXONOMY
AR111N00000XOtherTAXONOMY
AR59365Medicare PIN