Decker, Joshua Robert

Decker, Joshua Robert is an sole proprietor health care provider with primary practice located at 1195 Wilson Ave Nw , Grand Rapids MI 49534-3493. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Decker, Joshua Robert can be contacted via phone (616) 453-8277.

Contact Information

Primary practice address
1195 Wilson Ave Nw Grand Rapids MI 49534-3493
Phone: (616) 453-8277
Fax: (616) 453-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002241 Michigan

Profile Details

NPI number 1639341365
LBN Legal business name Decker, Joshua Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2008
Last updated Sep 29th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639341365 NPPES
Michigan Other 480026386 RAILROAD MEDICARE
Michigan Other 1639341365 RAILROAD MEDICARE
Michigan Other OM71140 RAILROAD MEDICARE
Michigan Other 1266510001 RAILROAD MEDICARE
Michigan MEDICAID 5494683 RAILROAD MEDICARE

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