Decker, Lisa A
Decker, Lisa A is an individual health care provider with primary practice located at 1136 N Baldwin Ave , Marion IN 46952-4715. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Decker, Lisa A can be contacted via phone (765) 660-7440.Contact Information
Primary practice address
1136 N Baldwin Ave
Marion IN 46952-4715
Phone: (765) 660-7440
Fax: (765) 662-4715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 71002213B | Indiana |
Profile Details
| NPI number | 1346359437 |
|---|---|
| LBN Legal business name | Decker, Lisa A |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Oct 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346359437 | NPPES |
| Indiana | Other | 000000780698 | ANTHEM |
| Indiana | MEDICAID | 200832930 | ANTHEM |
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