Decker, Gregory M

Decker, Gregory M is an individual health care provider with primary practice located at 14532 S Outer 40 Rd Dept Orthopaedic Surg, Dept Ste 200, Chesterfield MO 63017-5705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Decker, Gregory M can be contacted via phone (314) 514-3913.

Contact Information

Primary practice address
14532 S Outer 40 Rd Dept Orthopaedic Surg, Dept Ste 200 Chesterfield MO 63017-5705
Phone: (314) 514-3913
Fax: (314) 514-3534
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2019017094 Missouri

Profile Details

NPI number 1437564614
LBN Legal business name Decker, Gregory M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2014
Last updated Apr 25th, 2024 - 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 1437564614 NPPES
Missouri MEDICAID 200070778

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