Decook, Daniel J

Decook, Daniel J is an individual health care provider with primary practice located at 577 Michigan Ave Suite 202, Holland MI 49423-4911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Decook, Daniel J can be contacted via phone (616) 394-0673.

Contact Information

Primary practice address
577 Michigan Ave Suite 202 Holland MI 49423-4911
Phone: (616) 394-0673
Fax: (616) 394-9825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301051253 Michigan

Profile Details

NPI number 1396702312
LBN Legal business name Decook, Daniel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 29th, 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 1396702312 NPPES
Michigan MEDICAID 3394929
Michigan Other 020G010060
Michigan Other 382809956

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