Decker, Philip Anthony
Decker, Philip Anthony is an individual health care provider with primary practice located at 2801 New Hartford Rd , Owensboro KY 42303-1320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Decker, Philip Anthony can be contacted via phone (270) 683-3720.Contact Information
Primary practice address
2801 New Hartford Rd
Owensboro KY 42303-1320
Phone: (270) 683-3720
Fax: (270) 686-7331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01056579A | Indiana |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 37389 | Kentucky |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 01056579A | Indiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 37389 | Kentucky |
Profile Details
| NPI number | 1225038334 |
|---|---|
| LBN Legal business name | Decker, Philip Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Nov 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225038334 | NPPES |
| Indiana | MEDICAID | 200386620 | |
| Indiana | MEDICAID | 64052632 |
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