Dehaan, Douglas R.
Dehaan, Douglas R. is an individual health care provider with primary practice located at 27810 Grand River Ave , Farmington Hills MI 48336-5916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dehaan, Douglas R. can be contacted via phone (248) 516-1978.Contact Information
Primary practice address
27810 Grand River Ave
Farmington Hills MI 48336-5916
Phone: (248) 516-1978
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1919 | South Dakota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301511075 | Michigan |
Profile Details
| NPI number | 1376548107 |
|---|---|
| LBN Legal business name | Dehaan, Douglas R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Apr 16th, 2024 - about 5 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 | 1376548107 | NPPES |
| South Dakota | MEDICAID | 5607207 |
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