Decker, Heather

Decker, Heather is an individual health care provider with primary practice located at 7575 Grand River Rd , Brighton MI 48114-9309. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Decker, Heather can be contacted via phone (810) 844-7290.

Contact Information

Primary practice address
7575 Grand River Rd Brighton MI 48114-9309
Phone: (810) 844-7290
Fax: (810) 844-7295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004411 Michigan

Profile Details

NPI number 1508836990
LBN Legal business name Decker, Heather
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 30th, 2020 - about 6 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 1508836990 NPPES
Michigan Other 11-5-25-1236-0 BLUE CROSS OF MICHIGAN

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