Decker, William Robert

Decker, William Robert is an individual health care provider with primary practice located at 1195 Wilson Nw , Grand Rapids MI 49534-6404. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Decker, William Robert can be contacted via phone (616) 453-8277.

Contact Information

Primary practice address
1195 Wilson Nw Grand Rapids MI 49534-6404
Phone: (616) 453-8277
Fax: (616) 453-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901000997 Michigan

Profile Details

NPI number 1023046844
LBN Legal business name Decker, William Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Nov 10th, 2014 - about 10 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 1023046844 NPPES
Michigan Other 480026385 RAILROAD MEDICARE
Michigan MEDICAID 3506776 RAILROAD MEDICARE
Michigan Other 1266510001 RAILROAD MEDICARE

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