Decker, Gary Raymond
Decker, Gary Raymond is an individual health care provider with primary practice located at 545 N River St Suite 205, Wilkes Barre PA 18702-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Decker, Gary Raymond can be contacted via phone (570) 822-6036.Contact Information
Primary practice address
545 N River St Suite 205
Wilkes Barre PA 18702-2600
Phone: (570) 822-6036
Fax: (570) 829-1520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD042296E | Pennsylvania |
Profile Details
| NPI number | 1144279209 |
|---|---|
| LBN Legal business name | Decker, Gary Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Nov 19th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144279209 | NPPES |
| Pennsylvania | MEDICAID | 0012845610001 | |
| Pennsylvania | Other | 075321 | |
| Pennsylvania | Other | 8408 | |
| Pennsylvania | Other | 102861 | |
| Pennsylvania | Other | 710341 | |
| Pennsylvania | Other | 710341 |
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