Provider Demographics
NPI:1649329459
Name:HAYS, JEFFRY (DC)
Entity type:Individual
Prefix:MR
First Name:JEFFRY
Middle Name:
Last Name:HAYS
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 1:5252 BALBOA AVE
Mailing Address - Street 2:SUITE 1002
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117
Mailing Address - Country:US
Mailing Address - Phone:858-278-2181
Mailing Address - Fax:858-277-2183
Practice Address - Street 1:5252 BALBOA AVE
Practice Address - Street 2:SUITE 1002
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117
Practice Address - Country:US
Practice Address - Phone:858-278-2181
Practice Address - Fax:858-277-2183
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC24404Medicare PIN