Provider Demographics
NPI:1871797555
Name:HAYES, JULIANNE MARIE (DC)
Entity type:Individual
Prefix:MS
First Name:JULIANNE
Middle Name:MARIE
Last Name:HAYES
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 1:1315 S ALLEN ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-5923
Mailing Address - Country:US
Mailing Address - Phone:814-235-1035
Mailing Address - Fax:814-235-1037
Practice Address - Street 1:1315 S ALLEN ST
Practice Address - Street 2:SUITE 306
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-5923
Practice Address - Country:US
Practice Address - Phone:814-235-1035
Practice Address - Fax:814-235-1037
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009876111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor