Decker, Deborah Maude

Decker, Deborah Maude is an individual health care provider with primary practice located at 2903 1St Ave , Lake Charles LA 70601-8809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Decker, Deborah Maude can be contacted via phone (337) 478-6480.

Contact Information

Primary practice address
2903 1St Ave Lake Charles LA 70601-8809
Fax: (337) 474-9637
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 022595 Louisiana

Profile Details

NPI number 1760473490
LBN Legal business name Decker, Deborah Maude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1760473490 NPPES
Louisiana MEDICAID 1490857

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