Decker, Richard Myron
Decker, Richard Myron is an sole proprietor health care provider with primary practice located at 7402 Custer Rd W Suite 101, Lakewood WA 98499-7944. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Decker, Richard Myron can be contacted via phone (253) 471-2222.Contact Information
Primary practice address
7402 Custer Rd W Suite 101
Lakewood WA 98499-7944
Phone: (253) 471-2222
Fax: (253) 476-2647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 05991 | Washington |
Profile Details
| NPI number | 1730250903 |
|---|---|
| LBN Legal business name | Decker, Richard Myron |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1730250903 | NPPES |
| Washington | Other | 05991 | DETAL LICENSE |
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