Individual
JAMES R HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
819 STATE ROUTE 664 N, STE A, LOGAN, OH 43138-8540
(740) 385-9614
(740) 380-2734
Mailing address
PO BOX 228, LOGAN, OH 43138-0228
(740) 380-8068
(740) 380-2734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34002691H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000120791
ANTHEM
OH
01
—
000000198892
UNISON
OH
01
—
0100639
UHC
OH
05
—
0365037
—
OH
Enumeration date
06/09/2005
Last updated
07/23/2012
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