Decker, Theron Newell
Decker, Theron Newell is an individual health care provider with primary practice located at 253 Barkley Memorial Center , Lincoln NE 68583-0731. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Decker, Theron Newell can be contacted via phone (402) 472-2068.Contact Information
Primary practice address
253 Barkley Memorial Center
Lincoln NE 68583-0731
Phone: (402) 472-2068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 20 | Nebraska |
Profile Details
| NPI number | 1174586994 |
|---|---|
| LBN Legal business name | Decker, Theron Newell |
| Credentials | PH.D., CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 11th, 2007 - about 19 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 | 1174586994 | NPPES |
| Nebraska | MEDICAID | 10025369400 | |
| Nebraska | Other | 37025 | |
| Nebraska | MEDICAID | 10025369300 | |
| Nebraska | Other | 20 |
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