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NELSON S HAAS MD PC NPI 1902212145


NPI Information

NPI: 1902212145
Provider Name: NELSON S HAAS MD PC

Other Name: NORTH STAR OCCUPATIONAL MEDICINE

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
1734 CRAWFORD FARM RD
NEWPORT, VT
ZIP 05855
Phone: (802) 334-9300
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NELSON S HAAS MD PC is an occupational medicine clinic center in Newport, VT. NELSON S HAAS MD PC NPI is 1902212145. The provider is registered as an organization entity type.
The provider Other Name Is North Star Occupational Medicine.

The provider's business location address is:

1734 CRAWFORD FARM RD
NEWPORT, VT
ZIP 05855-509
Phone: (802) 334-9300
Fax: (802) 334-9299

The provider's authorized official is Nelson Stuart Haas .
The authorized official title is Medical Director and has the following contact phone number (802) 334-9300.

The enumeration date for this NPI number is 7/9/2014 and was last updated on 7/9/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QX0100XClinic/CenterOccupational Medicine042-0010304VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OVN2803MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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