Haak, Edward A
Haak, Edward A is an individual health care provider with primary practice located at 44 Main St Ste 200 , Richford VT 05476-1141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Haak, Edward A can be contacted via phone (802) 255-5580.Contact Information
Primary practice address
44 Main St Ste 200
Richford VT 05476-1141
Phone: (802) 255-5580
Fax: (802) 255-5589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 032.0000334 | Vermont |
Profile Details
| NPI number | 1336170810 |
|---|---|
| LBN Legal business name | Haak, Edward A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Apr 17th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336170810 | NPPES |
| Vermont | MEDICAID | 1001761 |
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