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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174586994 NPPES
Nebraska MEDICAID 10025369400
Nebraska Other 37025
Nebraska MEDICAID 10025369300
Nebraska Other 20

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