Provider Demographics
NPI:1174732267
Name:HAYS, MICHAEL NELSEN (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:NELSEN
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 1:4474 MARKET ST
Mailing Address - Street 2:SUITE 503
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003
Mailing Address - Country:US
Mailing Address - Phone:805-648-7494
Mailing Address - Fax:
Practice Address - Street 1:4474 MARKET ST
Practice Address - Street 2:SUITE 503
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-650-2727
Practice Address - Fax:805-650-9226
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor