Individual
DEAN A CHAPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6635 COMANCHE ST, BONNERS FERRY, ID 83805-7523
(208) 267-1718
(208) 267-7739
Mailing address
PO BOX 6228, HELENA, MT 59604-6228
(406) 457-4180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-606
ID
Other
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
Enumeration date
05/20/2006
Last updated
11/09/2015
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