Decker, Brent
Decker, Brent is an sole proprietor health care provider with primary practice located at 11 W 23Rd St Bldg D1 , Panama City FL 32405-4553. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Decker, Brent can be contacted via phone (850) 522-9456.Contact Information
Primary practice address
11 W 23Rd St Bldg D1
Panama City FL 32405-4553
Phone: (850) 522-9456
Fax: (850) 522-9094
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY5989 | Florida |
Profile Details
NPI number | 1427069251 |
---|---|
LBN Legal business name | Decker, Brent |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 10th, 2006 |
Last updated | Apr 2nd, 2019 - about 6 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 | 1427069251 | NPPES |
Florida | Other | 54477 | BC/BS OF FLORIDA |
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