Decker, Randolph Roy
Decker, Randolph Roy is an individual health care provider with primary practice located at 1000 N Jesse James Rd Suite 3, Excelsior Springs MO 64024-1244. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Decker, Randolph Roy can be contacted via phone (816) 630-6211.Contact Information
Primary practice address
1000 N Jesse James Rd Suite 3
Excelsior Springs MO 64024-1244
Phone: (816) 630-6211
Fax: (816) 630-6211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5147 | Missouri |
Profile Details
| NPI number | 1548253156 |
|---|---|
| LBN Legal business name | Decker, Randolph Roy |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1548253156 | NPPES |
| Missouri | Other | PO0058846 | RAILROAD MEDICARE |
| Missouri | Other | 12330027 | RAILROAD MEDICARE |
| Missouri | Other | 4400182 | RAILROAD MEDICARE |
| Missouri | Other | 4401828 | RAILROAD MEDICARE |
| Missouri | Other | 532434 | RAILROAD MEDICARE |
| Missouri | Other | 2032917 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 000 | RAILROAD MEDICARE |
| Missouri | Other | T73784 | RAILROAD MEDICARE |
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