# DEAN A CHAPEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215981725
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA-606 | ID | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 11/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010142695 | REGENCE OF ID GROUP | ID |
| 01 | — | 000010161379 | REGENCE OF ID | ID |
| 01 | — | 043634356 | BRCHC TAX ID | ID |
| 05 | — | 8065901 | — | ID |
| 01 | — | 8H104 | BLUE CROSS OF ID GROUP | ID |
| 01 | — | PAF22 | BLUE CROSS OF IDAHO | ID |