Decoud, Steven Clay
Decoud, Steven Clay is an sole proprietor health care provider with primary practice located at 17230 Jackson Creek Pkwy Ste 120 , Monument CO 80132-7302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Decoud, Steven Clay can be contacted via phone (719) 571-7070.Contact Information
Primary practice address
17230 Jackson Creek Pkwy Ste 120
Monument CO 80132-7302
Phone: (719) 571-7070
Fax: (719) 570-7079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DR.0046479 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 46479 | Colorado |
Profile Details
| NPI number | 1144209784 |
|---|---|
| LBN Legal business name | Decoud, Steven Clay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Aug 23rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144209784 | NPPES |
| Colorado | MEDICAID | 86050745 |
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