Decarli, John Frederick

Decarli, John Frederick is an sole proprietor health care provider with primary practice located at 700 W Lea Blvd Suite 306, Wilmington DE 19802-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Decarli, John Frederick can be contacted via phone (302) 761-9620.

Contact Information

Primary practice address
700 W Lea Blvd Suite 306 Wilmington DE 19802-2500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C2-0002853 Delaware

Profile Details

NPI number 1063404044
LBN Legal business name Decarli, John Frederick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1063404044 NPPES
Delaware MEDICAID 0000022903

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