Decker, Eric T

Decker, Eric T is an individual health care provider with primary practice located at 3090 N 53Rd St , Milwaukee WI 53210-1617. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Decker, Eric T can be contacted via phone (414) 449-4444.

Contact Information

Primary practice address
3090 N 53Rd St Milwaukee WI 53210-1617
Phone: (414) 449-4444
Fax: (414) 449-4448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1138-154 Wisconsin

Profile Details

NPI number 1578540803
LBN Legal business name Decker, Eric T
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jul 8th, 2007 - about 18 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 1578540803 NPPES
Wisconsin MEDICAID 42724900

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