Provider / Organization | NPI | Date Certified |
---|---|---|
STEPHEN PEARCE HAYES | 1497483721 | 2022-08-14 |
Stephen Pearce Hayes is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1497483721. Registration indicates Stephen Pearce Hayes is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Mr. Stephen Pearce Hayes |
Practice Office Address | 700 W OLNEY RD NORFOLK, VA US |
Practice Office Telephone | 7574465869 |
Mailing Address | PO BOX 1980 NORFOLK, VA 235011980 US |
Business Telephone | 7574465869 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |
355850627013 | MEDICAID | VA |