Provider Demographics
NPI:1528113990
Name:HAYES, PAUL F (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:F
Last Name:HAYES
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:PO BOX 60
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-0060
Mailing Address - Country:US
Mailing Address - Phone:802-878-2191
Mailing Address - Fax:802-878-0265
Practice Address - Street 1:2031 ROOSEVELT HWY
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-0060
Practice Address - Country:US
Practice Address - Phone:802-878-2191
Practice Address - Fax:802-878-0265
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0060000712 VT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTCHAM00029334OtherBLUE CROSS BLUE SHIELD
VTVT8797Medicare ID - Type UnspecifiedMEDICARE