Dehaan, Heather
Dehaan, Heather is an individual health care provider with primary practice located at 4699 Jamboree Rd , Newport Beach CA 92660-2526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dehaan, Heather can be contacted via phone (949) 557-0714.Contact Information
Primary practice address
4699 Jamboree Rd
Newport Beach CA 92660-2526
Phone: (949) 557-0714
Fax: (949) 557-0715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C184298 | California |
Profile Details
| NPI number | 1063894715 |
|---|---|
| LBN Legal business name | Dehaan, Heather |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2015 |
| Last updated | Jul 16th, 2026 - about 3 months 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 | 1063894715 | NPPES |
| Florida | MEDICAID | ME129955 |
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