Provider Demographics
NPI:1548045628
Name:HALE, HAYLIE (DC)
Entity type:Individual
Prefix:
First Name:HAYLIE
Middle Name:
Last Name:HALE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 CONCORD AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-3366
Mailing Address - Country:US
Mailing Address - Phone:302-777-5551
Mailing Address - Fax:
Practice Address - Street 1:757 PULASKI HWY STE 4&5
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-5214
Practice Address - Country:US
Practice Address - Phone:302-554-5421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0011114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor