Decock, Christopher Anthony

Decock, Christopher Anthony is an sole proprietor health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Decock, Christopher Anthony can be contacted via phone (701) 364-3000.

Contact Information

Primary practice address
3000 32Nd Ave S Fargo ND 58103
Phone: (701) 364-3000
Fax: (701) 364-8907
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 12911 North Dakota

Profile Details

NPI number 1720252216
LBN Legal business name Decock, Christopher Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2008
Last updated Jul 18th, 2018 - about 6 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 1720252216 NPPES
North Dakota MEDICAID 18298

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