Decker, Kenneth Lee
Decker, Kenneth Lee is an sole proprietor health care provider with primary practice located at 408 9Th St Sw , Canton OH 44707-4714. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Decker, Kenneth Lee can be contacted via phone (330) 454-2000.Contact Information
Primary practice address
408 9Th St Sw
Canton OH 44707-4714
Phone: (330) 454-2000
Fax: (234) 521-7249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | 03439948 | Ohio |
Profile Details
| NPI number | 1528650413 |
|---|---|
| LBN Legal business name | Decker, Kenneth Lee |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2021 |
| Last updated | Jul 8th, 2024 - about last year |
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 | 1528650413 | NPPES |
| Ohio | MEDICAID | 0432477 |
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