Provider Demographics
NPI:1942277736
Name:HAIGNEY, DAYTON FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:DAYTON
Middle Name:FRANCIS
Last Name:HAIGNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 BATES ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7637
Mailing Address - Country:US
Mailing Address - Phone:207-783-2300
Mailing Address - Fax:207-783-2439
Practice Address - Street 1:77 BATES ST
Practice Address - Street 2:STE 102
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240
Practice Address - Country:US
Practice Address - Phone:207-783-2300
Practice Address - Fax:207-783-2439
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME011043208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
010424957OtherSTANDARD TAX ID
010424957OtherCHAMPUS
B86419OtherHARVARD PILGRIM
ME118120099Medicaid
250011057OtherMEDICARE RAILROAD
010424957OtherEMPLOY STANDARDS
010424957OtherTRICARE
M57581OtherCIGNA
037548OtherBCBS
2216612OtherAETNA
B86419OtherHARVARD PILGRIM
037548OtherBCBS