Deckers, Peter

Deckers, Peter is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Deckers, Peter can be contacted via phone (860) 679-2100.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-0001
Phone: (860) 679-2100
Fax: (860) 679-4815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 025495 Connecticut

Profile Details

NPI number 1154326841
LBN Legal business name Deckers, Peter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Nov 16th, 2015 - 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 1154326841 NPPES
Connecticut MEDICAID 1254952

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