DR. CHARLES SCOTT DEHAAN M.D. NPI 1144392499

NPI Information

DR. Charles Scott Dehaan, M.D. is a family medicine in Rockford, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Charles Scott Dehaan, M.D. NPI is 1144392499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

124 N WATER ST
208
ROCKFORD, IL
ZIP 61107-960
Phone: (815) 312-5810
Fax: (815) 312-5811

The enumeration date for this NPI number is 11/14/2006 and was last updated on 12/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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