Decker, Suzanne Marie

Decker, Suzanne Marie is an individual health care provider with primary practice located at 3375 N Seminary St , Galesburg IL 61401-1251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Decker, Suzanne Marie can be contacted via phone (309) 344-3161.

Contact Information

Primary practice address
3375 N Seminary St Galesburg IL 61401-1251
Phone: (309) 344-3161
Fax: (309) 344-9623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209007779 Illinois

Profile Details

NPI number 1326373457
LBN Legal business name Decker, Suzanne Marie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2009
Last updated Aug 1st, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326373457 NPPES
Iowa MEDICAID 1598759292

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