Provider Demographics
NPI:1568426393
Name:HALADAY, DOUGLAS EUGENE (PT,MHS,DPT,OCS,CSCS)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:EUGENE
Last Name:HALADAY
Suffix:
Gender:M
Credentials:PT,MHS,DPT,OCS,CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 BECKS CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:MADISON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18444-7526
Mailing Address - Country:US
Mailing Address - Phone:570-842-3252
Mailing Address - Fax:
Practice Address - Street 1:102 ROUTE 611
Practice Address - Street 2:SUITE 3, BARTONSVILLE COMMONS
Practice Address - City:BARTONSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18321-9439
Practice Address - Country:US
Practice Address - Phone:570-619-7370
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008437L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA818201OtherFIRST PRIORITY HEALTH
PA1616696OtherHIGHMARK BLUE SHIELD
PA818201OtherFIRST PRIORITY HEALTH