Decker, Raymond Gerard
Decker, Raymond Gerard is an individual health care provider with primary practice located at 13911 St Francis Blvd Suite 101, Midlothian VA 23114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Decker, Raymond Gerard can be contacted via phone (804) 320-3999.Contact Information
Primary practice address
13911 St Francis Blvd Suite 101
Midlothian VA 23114
Phone: (804) 320-3999
Fax: (804) 323-9383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0101054534 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101054534 | Virginia |
Profile Details
| NPI number | 1972594828 |
|---|---|
| LBN Legal business name | Decker, Raymond Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | May 15th, 2008 - about 18 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 | 1972594828 | NPPES |
| Virginia | MEDICAID | 005643058 | |
| Virginia | Other | 080130560 | |
| Virginia | MEDICAID | 5631149 | |
| Virginia | MEDICAID | 005634491 | |
| Virginia | Other | 272290 | |
| Virginia | MEDICAID | 005634482 |
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