Decker, Edward B
Decker, Edward B is an individual health care provider with primary practice located at 200 So. Orange Ave Suite 209, Livingston NJ 07039. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Decker, Edward B can be contacted via phone (973) 322-0100.Contact Information
Primary practice address
200 So. Orange Ave Suite 209
Livingston NJ 07039
Phone: (973) 322-0100
Fax: (973) 322-0102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA06053300 | New Jersey |
Profile Details
| NPI number | 1942243829 |
|---|---|
| LBN Legal business name | Decker, Edward B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jun 30th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942243829 | NPPES |
| New Jersey | MEDICAID | 1388509 |
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