Dehaan, David
Dehaan, David is an individual health care provider with primary practice located at 1801 S Highland Ave Ste 220, Lombard IL 60148-4932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dehaan, David can be contacted via phone (630) 873-8700.Contact Information
Primary practice address
1801 S Highland Ave Ste 220
Lombard IL 60148-4932
Phone: (630) 873-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036097993 | Illinois |
Profile Details
| NPI number | 1861467995 |
|---|---|
| LBN Legal business name | Dehaan, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Aug 4th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861467995 | NPPES |
| Illinois | MEDICAID | 036097993 |
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