Decker, Alyssa
Decker, Alyssa is an individual health care provider with primary practice located at 2165 White Bear Ave N , Maplewood MN 55109-2707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Decker, Alyssa can be contacted via phone (651) 523-9800.Contact Information
Primary practice address
2165 White Bear Ave N
Maplewood MN 55109-2707
Phone: (651) 523-9800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 74929 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125.075864 | Illinois |
Profile Details
| NPI number | 1104447218 |
|---|---|
| LBN Legal business name | Decker, Alyssa |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2020 |
| Last updated | Aug 3rd, 2023 - about last year |
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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