Healthcare Provider Details

I. General information

NPI: 1942277736
Provider Name (Legal Business Name): DAYTON FRANCIS HAIGNEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 04/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 BATES ST STE 102
LEWISTON ME
04240
US

IV. Provider business mailing address

77 BATES ST SUITE 102
LEWISTON ME
04240-7637
US

V. Phone/Fax

Practice location:
  • Phone: 207-783-2300
  • Fax: 207-783-2439
Mailing address:
  • Phone: 207-783-2300
  • Fax: 207-783-2439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number011043
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: