Decaestecker, James E

Decaestecker, James E is an individual health care provider with primary practice located at 9000 N Main St Suite 233, Dayton OH 45415-1180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Decaestecker, James E can be contacted via phone (937) 832-9310.

Contact Information

Primary practice address
9000 N Main St Suite 233 Dayton OH 45415-1180
Phone: (937) 832-9310
Fax: (937) 832-8613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34007854 Ohio

Profile Details

NPI number 1376533463
LBN Legal business name Decaestecker, James E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Aug 18th, 2014 - about 12 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 1376533463 NPPES
Ohio MEDICAID 2341282

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