Decker, Roberta J

Decker, Roberta J is an individual health care provider with primary practice located at 115 6Th St Ne , Cass Lake MN 56633-3428. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Decker, Roberta J can be contacted via phone (218) 335-4557.

Contact Information

Primary practice address
115 6Th St Ne Cass Lake MN 56633-3428
Phone: (218) 335-4557
Fax: (218) 335-4578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L041992-1 Minnesota

Profile Details

NPI number 1235438623
LBN Legal business name Decker, Roberta J
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2011
Last updated Mar 24th, 2011 - about 15 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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