Allen, Decorkus

Allen, Decorkus is an sole proprietor health care provider with primary practice located at 211 Gay St , Havana FL 32333-1646. He recently has only one registered license in Agencies / In Home Supportive Care, which is considered as his primary health care specialty. Allen, Decorkus can be contacted via phone (850) 274-7104.

Contact Information

Primary practice address
211 Gay St Havana FL 32333-1646
Phone: (850) 274-7104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 235485 Florida

Profile Details

NPI number 1396233763
LBN Legal business name Allen, Decorkus
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2018
Last updated Aug 4th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396233763 NPPES
Florida MEDICAID 021500500

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