Provider Demographics
NPI:1447662788
Name:HAYMAN, GARRETT (DC)
Entity type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:
Last Name:HAYMAN
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 1:1052 UPPER VALLEY PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-4016
Mailing Address - Country:US
Mailing Address - Phone:419-305-4813
Mailing Address - Fax:937-424-4725
Practice Address - Street 1:1052 UPPER VALLEY PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504
Practice Address - Country:US
Practice Address - Phone:419-305-4813
Practice Address - Fax:937-424-4725
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002766A111N00000X
FLCH12554111N00000X
OHDC-04806111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor