Decker, Eric T
Decker, Eric T is an individual health care provider with primary practice located at 3090 N 53Rd St , Milwaukee WI 53210-1617. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Decker, Eric T can be contacted via phone (414) 449-4444.Contact Information
Primary practice address
3090 N 53Rd St
Milwaukee WI 53210-1617
Phone: (414) 449-4444
Fax: (414) 449-4448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1138-154 | Wisconsin |
Profile Details
| NPI number | 1578540803 |
|---|---|
| LBN Legal business name | Decker, Eric T |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578540803 | NPPES |
| Wisconsin | MEDICAID | 42724900 |
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