Decker, David H

Decker, David H is an individual health care provider with primary practice located at 710 N 8Th St , Springfield IL 62702-6324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Decker, David H can be contacted via phone (217) 588-7717.

Contact Information

Primary practice address
710 N 8Th St Springfield IL 62702-6324
Phone: (217) 588-7717
Fax: (217) 525-1503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036-067909 Illinois

Profile Details

NPI number 1063490043
LBN Legal business name Decker, David H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Aug 11th, 2023 - about 2 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 1063490043 NPPES
Illinois MEDICAID 036067909

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