Decker, Clarice R

Decker, Clarice R is an individual health care provider with primary practice located at 11475 Robinson Dr Nw , Coon Rapids MN 55433-3746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Decker, Clarice R can be contacted via phone (763) 587-9000.

Contact Information

Primary practice address
11475 Robinson Dr Nw Coon Rapids MN 55433-3746
Phone: (763) 587-9000
Fax: (763) 587-9130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 37105 Minnesota

Profile Details

NPI number 1669441960
LBN Legal business name Decker, Clarice R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 11th, 2013 - about 11 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 1669441960 NPPES
Minnesota MEDICAID 719025500

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