MEDICARE: DR. DARLENE L. HAUPT D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS009604L	PA
2	207Q00000X	Family Medicine Physician	C2-0024357	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912976705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARLENE L. HAUPT D.O.

Provider Business Mailing Address
First Line	:	36450 TIDAL RD
Second Line	:
City	:	SELBYVILLE
State	:	DE
Zip	:	19975-4596
Country	:	US
Telephone Number	:	302-291-6045
Fax Number	:	833-449-3867

Provider Business Practice Location Address
First Line	:	36450 TIDAL RD
Second Line	:
City	:	SELBYVILLE
State	:	DE
Zip	:	19975-4596
Country	:	US
Telephone Number	:	302-291-6045
Fax Number	:	833-449-3867

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	03/18/2024

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Directions to “ DR. DARLENE L. HAUPT D.O.” Practice Location

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