Decker, Mary Louise Susan

Decker, Mary Louise Susan is an sole proprietor health care provider with primary practice located at 501 S Washington Ave Ste 1000 , Scranton PA 18505-3814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Decker, Mary Louise Susan can be contacted via phone (570) 941-0630.

Contact Information

Primary practice address
501 S Washington Ave Ste 1000 Scranton PA 18505-3814
Phone: (570) 941-0630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD065216L Pennsylvania

Profile Details

NPI number 1598714891
LBN Legal business name Decker, Mary Louise Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2006
Last updated Dec 11th, 2020 - about 5 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 1598714891 NPPES
Pennsylvania Other 101303 UNISON HEALTH PLAN
Pennsylvania Other 276915 UNISON HEALTH PLAN
Pennsylvania MEDICAID 0016925830001 UNISON HEALTH PLAN
Pennsylvania Other 24497 UNISON HEALTH PLAN
Pennsylvania Other 806176 UNISON HEALTH PLAN

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