Provider Demographics
NPI:1215466107
Name:HAIG PHYSICAL MEDICINE PLC
Entity type:Organization
Organization Name:HAIG PHYSICAL MEDICINE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:802-857-5671
Mailing Address - Street 1:373 BLAIR PARK RD STE 206
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-7998
Mailing Address - Country:US
Mailing Address - Phone:802-857-5671
Mailing Address - Fax:
Practice Address - Street 1:373 BLAIR PARK RD STE 206
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7998
Practice Address - Country:US
Practice Address - Phone:802-857-5671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty