Dekorte, Michael Andrew

Dekorte, Michael Andrew is an individual health care provider with primary practice located at 713 Golf View Drive , Medford OR 97504-9643. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Dekorte, Michael Andrew can be contacted via phone (541) 770-1225.

Contact Information

Primary practice address
713 Golf View Drive Medford OR 97504-9643
Phone: (541) 770-1225
Fax: (541) 770-1245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00247 Oregon
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X DP00247 Oregon

Profile Details

NPI number 1982795050
LBN Legal business name Dekorte, Michael Andrew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jan 5th, 2021 - about 4 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 1982795050 NPPES
Oregon MEDICAID 056981
Oregon Other 1297890041
Oregon Other 480029243

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