Decker, Katelynn
Decker, Katelynn is an sole proprietor health care provider with primary practice located at 428 W Martin St , Martinsburg WV 25401-2747. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Decker, Katelynn can be contacted via phone (681) 260-0818.Contact Information
Primary practice address
428 W Martin St
Martinsburg WV 25401-2747
Phone: (681) 260-0818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1770023244 |
|---|---|
| LBN Legal business name | Decker, Katelynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2017 |
| Last updated | Mar 3rd, 2017 - about 9 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 | 1770023244 | NPPES |
| West Virginia | MEDICAID | 00700024108 |
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