Decker, Raymond Gerard

Decker, Raymond Gerard is an individual health care provider with primary practice located at 13911 St Francis Blvd Suite 101, Midlothian VA 23114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Decker, Raymond Gerard can be contacted via phone (804) 320-3999.

Contact Information

Primary practice address
13911 St Francis Blvd Suite 101 Midlothian VA 23114
Phone: (804) 320-3999
Fax: (804) 323-9383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101054534 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101054534 Virginia

Profile Details

NPI number 1972594828
LBN Legal business name Decker, Raymond Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated May 15th, 2008 - about 16 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 1972594828 NPPES
Virginia MEDICAID 005643058
Virginia Other 080130560
Virginia MEDICAID 5631149
Virginia MEDICAID 005634491
Virginia Other 272290
Virginia MEDICAID 005634482

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