Decker, Eugene Charles

Decker, Eugene Charles is an sole proprietor health care provider with primary practice located at 4647 W 103Rd St Suite #1D, Oak Lawn IL 60453-4779. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Decker, Eugene Charles can be contacted via phone (708) 422-8260.

Contact Information

Primary practice address
4647 W 103Rd St Suite #1D Oak Lawn IL 60453-4779
Phone: (708) 422-8260
Fax: (708) 422-6952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1366572620
LBN Legal business name Decker, Eugene Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 17 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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