Decou, James Michael

Decou, James Michael is an individual health care provider with primary practice located at 330 Barclay Ave Ne Suite 202, Grand Rapids MI 49503-2556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Decou, James Michael can be contacted via phone (616) 458-1722.

Contact Information

Primary practice address
330 Barclay Ave Ne Suite 202 Grand Rapids MI 49503-2556
Phone: (616) 458-1722
Fax: (616) 458-0061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 4301076130 Michigan

Profile Details

NPI number 1326197625
LBN Legal business name Decou, James Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 18 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 1326197625 NPPES
Michigan MEDICAID 4201571

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