Dehaven, Everett Deane

Dehaven, Everett Deane is an individual health care provider with primary practice located at 809 Elmhurst Blvd , Salina KS 67401-7405. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dehaven, Everett Deane can be contacted via phone (785) 823-6322.

Contact Information

Primary practice address
809 Elmhurst Blvd Salina KS 67401-7405
Phone: (785) 823-6322
Fax: (785) 823-3109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP 0554 Kansas

Profile Details

NPI number 1083653851
LBN Legal business name Dehaven, Everett Deane
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Apr 1st, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083653851 NPPES
Kansas Other 041668 BLUE CROSS BLUE SHIELD

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