Decker, Boyd Joseph

Decker, Boyd Joseph is an individual health care provider with primary practice located at 975 Port Washington Rd , Grafton WI 53024-9201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Decker, Boyd Joseph can be contacted via phone (262) 329-1000.

Contact Information

Primary practice address
975 Port Washington Rd Grafton WI 53024-9201
Phone: (262) 329-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X

Profile Details

NPI number 1649799644
LBN Legal business name Decker, Boyd Joseph
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2017
Last updated Jun 5th, 2023 - about 3 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 1649799644 NPPES
Wisconsin MEDICAID 100071883

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