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
Fax: (850) 522-9094
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427069251 NPPES
Florida Other 54477 BC/BS OF FLORIDA

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