Decker, Todd

Decker, Todd is an individual health care provider with primary practice located at 405 18Th Ave Ne , Watertown SD 57201-8630. 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, Todd can be contacted via phone (605) 882-1591.

Contact Information

Primary practice address
405 18Th Ave Ne Watertown SD 57201-8630
Phone: (605) 882-1591
Fax: (605) 753-5591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 39 South Dakota

Profile Details

NPI number 1487606133
LBN Legal business name Decker, Todd
Credentials M.S., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 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 1487606133 NPPES
South Dakota MEDICAID 5832550
South Dakota Other 22679

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