Provider Demographics
NPI:1275358632
Name:HASKINS, BRIGITTE LUCILLE
Entity type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:LUCILLE
Last Name:HASKINS
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 1:63 ROBINWOOD AVE APT 3C
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:OH
Mailing Address - Zip Code:43213-6727
Mailing Address - Country:US
Mailing Address - Phone:614-584-3670
Mailing Address - Fax:
Practice Address - Street 1:63 ROBINWOOD AVE APT 3C
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:OH
Practice Address - Zip Code:43213-6727
Practice Address - Country:US
Practice Address - Phone:614-584-3670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator