Provider Demographics
NPI:1982012969
Name:CHAPUT, SCOTT (HAS BC-HIS)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:CHAPUT
Suffix:
Gender:M
Credentials:HAS BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7940
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:630-303-5385
Practice Address - Street 1:1702 N WOODLAND BLVD STE 102
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-1839
Practice Address - Country:US
Practice Address - Phone:386-734-4141
Practice Address - Fax:386-734-4150
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDL257237700000X
FLAS 4751237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist