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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336170810 NPPES
Vermont MEDICAID 1001761

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