Hayes, Charles S

Hayes, Charles S is an individual health care provider with primary practice located at 2102 E 38Th St , Davenport IA 52807-1135. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hayes, Charles S can be contacted via phone (563) 359-4049.

Contact Information

Primary practice address
2102 E 38Th St Davenport IA 52807-1135
Phone: (563) 359-4049
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00202 Iowa

Profile Details

NPI number 1619984358
LBN Legal business name Hayes, Charles S
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619984358 NPPES
Iowa MEDICAID 1108750000

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