Decker, Mary Louise Susan
Decker, Mary Louise Susan is an sole proprietor health care provider with primary practice located at 501 S Washington Ave Ste 1000 , Scranton PA 18505-3814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Decker, Mary Louise Susan can be contacted via phone (570) 941-0630.Contact Information
Primary practice address
501 S Washington Ave Ste 1000
Scranton PA 18505-3814
Phone: (570) 941-0630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD065216L | Pennsylvania |
Profile Details
| NPI number | 1598714891 |
|---|---|
| LBN Legal business name | Decker, Mary Louise Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2006 |
| Last updated | Dec 11th, 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 | 1598714891 | NPPES |
| Pennsylvania | Other | 101303 | UNISON HEALTH PLAN |
| Pennsylvania | Other | 276915 | UNISON HEALTH PLAN |
| Pennsylvania | MEDICAID | 0016925830001 | UNISON HEALTH PLAN |
| Pennsylvania | Other | 24497 | UNISON HEALTH PLAN |
| Pennsylvania | Other | 806176 | UNISON HEALTH PLAN |
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