Doctor Name: | DR. RYAN MATTHEW HAELY |
NPI Number: | 1881697001 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | DC 3160 |
Business Practice Address: | 7500 Town Centre Dr Ste 300 Broadview Hts, OH - 441474009 |
Business Phone Number: | 4408385755 |
Business Fax Number: | |
Mailing Address: | 6162 Carlyle Dr, SEVEN HILLS |
State: | OH |
Postal Code: | 441312920 |
Phone Number: | 2169861806 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 08/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/15/2006 |
NPI Reactivation Date: | 03/28/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC 3160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |