Decker, David Judson
Decker, David Judson is an sole proprietor health care provider with primary practice located at 1619 Dayton Ave Suite 321, Saint Paul MN 55104-6206. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Decker, David Judson can be contacted via phone (651) 646-4325.Contact Information
Primary practice address
1619 Dayton Ave Suite 321
Saint Paul MN 55104-6206
Phone: (651) 646-4325
Fax: (651) 646-4325
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP 0342 | Minnesota |
Profile Details
NPI number | 1598704082 |
---|---|
LBN Legal business name | Decker, David Judson |
Credentials | MA, LP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 6th, 2006 |
Last updated | Apr 21st, 2017 - about 8 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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