Individual
IAN HAYCOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 HOSPITAL DR, WINCHESTER, KY 40391-9591
(412) 230-8200
Mailing address
75 REMITTANCE DR DEPT 8310, CHICAGO, IL 60675-8310
(814) 444-1919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10797
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502691
—
NV
05
—
1841220746
—
CA
05
—
200469350A
—
OK
05
—
7100475330
—
KY
01
—
P01168988
RR MEDICARE
NV
Enumeration date
07/04/2006
Last updated
09/10/2018
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