Decker, Mark Jeffrey
Decker, Mark Jeffrey is an individual health care provider with primary practice located at 4 Sloan Rd. , West Chester PA 19382-4304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Decker, Mark Jeffrey can be contacted via phone (860) 871-0220.Contact Information
Primary practice address
4 Sloan Rd.
West Chester PA 19382-4304
Phone: (860) 871-0220
Fax: (860) 875-3993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 127284 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD433213 | Pennsylvania |
Profile Details
| NPI number | 1407829070 |
|---|---|
| LBN Legal business name | Decker, Mark Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Sep 5th, 2018 - about 6 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 | 1407829070 | NPPES |
| Connecticut | MEDICAID | 00121543301 |
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