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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346359437 NPPES
Indiana Other 000000780698 ANTHEM
Indiana MEDICAID 200832930 ANTHEM

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