Decker, John White

Decker, John White is an sole proprietor health care provider with primary practice located at 253 County Route 47 , Saranac Lake NY 12983-5403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Decker, John White can be contacted via phone (518) 891-0563.

Contact Information

Primary practice address
253 County Route 47 Saranac Lake NY 12983-5403
Phone: (518) 891-0563
Fax: (518) 897-2700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 156843 New York

Profile Details

NPI number 1407827207
LBN Legal business name Decker, John White
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Oct 12th, 2012 - about 12 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 1407827207 NPPES
New York MEDICAID 00811096
New York Other 331066683
New York Other 33106683
New York Other P0018406
New York Other 000490110003
New York Other 331066683
New York Other 7M5621
New York Other 000490110003
New York Other 049001

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