Decoux, Robert E

Decoux, Robert E is an individual health care provider with primary practice located at 300 Rawls Dr Suite 1300, Mccomb MS 39648-2877. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Decoux, Robert E can be contacted via phone (601) 249-3541.

Contact Information

Primary practice address
300 Rawls Dr Suite 1300 Mccomb MS 39648-2877
Phone: (601) 249-3541
Fax: (601) 249-3544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 07001 Mississippi

Profile Details

NPI number 1487662763
LBN Legal business name Decoux, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 1st, 2017 - about 8 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 1487662763 NPPES
Mississippi Other 1558935 AMERICAN ADMIN GROUP
Mississippi Other 100002670 AMERICAN ADMIN GROUP
Mississippi MEDICAID 00012512 AMERICAN ADMIN GROUP

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