Deanne Haag
Pediatrician Adolescent Medicine
11 Crest Rd
Saint Albans
, Vermont 05478-9701
Deanne Haag
Pediatrician Adolescent Medicine
11 Crest Rd
Saint Albans
, Vermont 05478-9701
(802) 288-1144
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Deanne Haag
- 66 Knight Ln Ste 10
- Williston, VT
- Zip : 05495-9308
- Fax : (802) 288-1144
- Phone : (802) 872-4329
Second Address
- Deanne Haag
- 11 Crest Rd
- Saint Albans, VT
- Zip : 05478-9701
- Fax : (802) 527-8187
- Phone : (802) 527-8189
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 042-0010358 | VT |
| Y | 2080A0000X | Adolescent Medicine | 0420010358 | VT |
National Provider Identifier
| NPI | 1215065032 |
|---|---|
| Provider Name | Deanne Haag |
| First Address | Williston, VT 05495-9308 |
| Second Address | Saint Albans, VT 05478-9701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2007 |
| Last Update Date | 29/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1008802 | (05) | VT |
| 58746 | BLUE CROSS BLUE SHIELD (01) | VT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.