Provider Demographics
NPI:1932858925
Name:HAUG, JULIE E
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:E
Last Name:HAUG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 STATE ROUTE 90
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-9155
Mailing Address - Country:US
Mailing Address - Phone:716-949-9750
Mailing Address - Fax:
Practice Address - Street 1:296 STATE ROUTE 90
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-9155
Practice Address - Country:US
Practice Address - Phone:716-949-9750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist