Provider Demographics
NPI:1699525006
Name:HAYSLIP, GARET ROBERT
Entity type:Individual
Prefix:
First Name:GARET
Middle Name:ROBERT
Last Name:HAYSLIP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25773 STATE ROUTE 41
Mailing Address - Street 2:
Mailing Address - City:PEEBLES
Mailing Address - State:OH
Mailing Address - Zip Code:45660-8953
Mailing Address - Country:US
Mailing Address - Phone:937-892-8090
Mailing Address - Fax:
Practice Address - Street 1:25773 STATE ROUTE 41
Practice Address - Street 2:
Practice Address - City:PEEBLES
Practice Address - State:OH
Practice Address - Zip Code:45660-8953
Practice Address - Country:US
Practice Address - Phone:937-892-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-26
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator