Decker, Mckenzie Jo
Decker, Mckenzie Jo is an individual health care provider with primary practice located at 2850 Olympus , Pocatello ID 83201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Decker, Mckenzie Jo can be contacted via phone (208) 239-3815.Contact Information
Primary practice address
2850 Olympus
Pocatello ID 83201
Phone: (208) 239-3815
Fax: (208) 239-3814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 58683 | Idaho |
Profile Details
| NPI number | 1245801141 |
|---|---|
| LBN Legal business name | Decker, Mckenzie Jo |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2021 |
| Last updated | Feb 14th, 2024 - about 2 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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