Decancq, Helaire George
Decancq, Helaire George is an sole proprietor health care provider with primary practice located at 500 Helendale Road Ste 200, Rochester NY 14609-3173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Decancq, Helaire George can be contacted via phone (585) 473-7028.Contact Information
Primary practice address
500 Helendale Road Ste 200
Rochester NY 14609-3173
Phone: (585) 473-7028
Fax: (585) 473-0051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 89973 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 089973 | New York |
Profile Details
| NPI number | 1063408540 |
|---|---|
| LBN Legal business name | Decancq, Helaire George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Aug 4th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063408540 | NPPES |
| New York | MEDICAID | 00448779 |
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