Decker, Matthew R
Decker, Matthew R is an individual health care provider with primary practice located at 4845 Yellowstone Ave , Chubbuck ID 83202-2333. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Decker, Matthew R can be contacted via phone (208) 237-3900.Contact Information
Primary practice address
4845 Yellowstone Ave
Chubbuck ID 83202-2333
Phone: (208) 237-3900
Fax: (208) 237-4955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PHA.0024243 | Colorado |
| Pharmacy Service Providers / Pharmacist | 183500000X | P8080 | Idaho |
Profile Details
| NPI number | 1922651181 |
|---|---|
| LBN Legal business name | Decker, Matthew R |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2019 |
| Last updated | Apr 21st, 2025 - about last year |
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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