Dr. Edward A Haak
Family Doctor - Addiction Medicine
44 Main St Ste 200
Richford
, Vermont 05476-1141
Dr. Edward A Haak
Family Doctor - Addiction Medicine
44 Main St Ste 200
Richford
, Vermont 05476-1141
(802) 255-5589
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Edward A Haak
- 44 Main St Ste 200
- Richford, VT
- Zip : 05476-1141
- Fax : (802) 255-5589
- Phone : (802) 255-5581
Second Address
- Dr. Edward A Haak
- 44 Main St Ste 200
- Richford, VT
- Zip : 05476-1141
- Fax : (802) 255-5589
- Phone : (802) 255-5580
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 032.0000334 | VT |
National Provider Identifier
| NPI | 1336170810 |
|---|---|
| Provider Name | Dr. Edward A Haak |
| First Address | Richford, VT 05476-1141 |
| Second Address | Richford, VT 05476-1141 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 17/04/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1001761 | (05) | VT |
| E03541 | (02) | 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.