Decker, Roger L
Decker, Roger L is an individual health care provider with primary practice located at 55 Physicians Ln , Southaven MS 38671-9569. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Decker, Roger L can be contacted via phone (662) 655-2136.Contact Information
Primary practice address
55 Physicians Ln
Southaven MS 38671-9569
Phone: (662) 655-2136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 24489 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 902736 | Mississippi |
Profile Details
| NPI number | 1689154478 |
|---|---|
| LBN Legal business name | Decker, Roger L |
| Credentials | AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2018 |
| Last updated | Sep 1st, 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.
Popular Providers
-
Messing, Meredith B
9900 Bren Rd E , Minnetonka MN 55343-9664 -
Stepter, Catherine R
7601 Southcrest Pkwy , Southaven MS 38671-4739 -
Hardy, William Taylor
401 Southcrest Cir Ste 201 , Southaven MS 38671 -
Reed, Tammy Q
7601 Southcrest Pkwy , Southaven MS 38671-4739 -
Deveaux, Theresa Eileen
301 Hospital Dr , Glen Burnie MD 21061-5803 -
Cavallaro, Cheryl
13123 E 16Th Ave , Aurora CO 80045-7106 -
Blackburn, Vickie Marie
1721 Ebenezer Rd Ste 175, Rock Hill SC 29732-4103 -
Bishop, Michelle Lee
3270 Marcia Louise Dr , Southaven MS 38672-6632