Deckwa, Stan

Deckwa, Stan is an sole proprietor health care provider with primary practice located at 2115 Golden Centre Ln , Rancho Cordova CA 95670-4477. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Deckwa, Stan can be contacted via phone (916) 631-7348.

Contact Information

Primary practice address
2115 Golden Centre Ln Rancho Cordova CA 95670-4477
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28017 California

Profile Details

NPI number 1144541962
LBN Legal business name Deckwa, Stan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2010
Last updated Jun 16th, 2010 - about 14 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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