Decker, Heather Anne

Decker, Heather Anne is an individual health care provider with primary practice located at 2251 Connecticut Ave S , Sartell MN 56377. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Decker, Heather Anne can be contacted via phone (320) 253-5220.

Contact Information

Primary practice address
2251 Connecticut Ave S Sartell MN 56377
Phone: (320) 253-5220
Fax: (320) 203-2200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036111062 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 63914 Minnesota

Profile Details

NPI number 1336114529
LBN Legal business name Decker, Heather Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 17th, 2018 - about 8 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 1336114529 NPPES
Illinois MEDICAID 036111062

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