Decator, Draycen
Decator, Draycen is an individual health care provider with primary practice located at 3292 N Evergreen Dr Ne , Grand Rapids MI 49525-9746. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Decator, Draycen can be contacted via phone (616) 365-8920.Contact Information
Primary practice address
3292 N Evergreen Dr Ne
Grand Rapids MI 49525-9746
Phone: (616) 365-8920
Fax: (616) 365-8971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 6301017537 | Michigan |
Profile Details
| NPI number | 1447738877 |
|---|---|
| LBN Legal business name | Decator, Draycen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2018 |
| Last updated | Jul 28th, 2018 - 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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