Decaestecker, Jacques E
Decaestecker, Jacques E is an individual health care provider with primary practice located at 1 Bartol Ave Suite 15, Ridley Park PA 19078-2214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Decaestecker, Jacques E can be contacted via phone (610) 521-3150.Contact Information
Primary practice address
1 Bartol Ave Suite 15
Ridley Park PA 19078-2214
Phone: (610) 521-3150
Fax: (610) 521-3933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD029825L | Pennsylvania |
Profile Details
| NPI number | 1215143094 |
|---|---|
| LBN Legal business name | Decaestecker, Jacques E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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