Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 111NR0400X | OH |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 111NX0800X | OH |
NPI | 1033447818 |
---|---|
Provider Name | Madelyn Hayes |
First Address | Cleveland, OH 44128-5136 |
Second Address | Cleveland, OH 44128-5136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2009 |
Last Update Date | 06/12/2009 |