Decker, Philip Anthony

Decker, Philip Anthony is an individual health care provider with primary practice located at 2801 New Hartford Rd , Owensboro KY 42303-1320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Decker, Philip Anthony can be contacted via phone (270) 683-3720.

Contact Information

Primary practice address
2801 New Hartford Rd Owensboro KY 42303-1320
Fax: (270) 686-7331
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01056579A Indiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 37389 Kentucky
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01056579A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 37389 Kentucky

Profile Details

NPI number 1225038334
LBN Legal business name Decker, Philip Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 27th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225038334 NPPES
Indiana Other 200386620 MOLINA
Indiana Other 611059472 MOLINA
Indiana MEDICAID 64052632 MOLINA
Indiana Other 611059472 MOLINA
Indiana MEDICAID 200386620 MOLINA
Indiana Other 611059472107 MOLINA
Indiana Other 0000000228388 MOLINA
Indiana Other 020053272 MOLINA

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