Decker, Todd Edward

Decker, Todd Edward is an sole proprietor health care provider with primary practice located at 2325 Summit Park Dr Suite 3, Petoskey MI 49770-8774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Decker, Todd Edward can be contacted via phone (231) 439-5100.

Contact Information

Primary practice address
2325 Summit Park Dr Suite 3 Petoskey MI 49770-8774
Phone: (231) 439-5100
Fax: (231) 439-9292
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301079910 Michigan

Profile Details

NPI number 1871600676
LBN Legal business name Decker, Todd Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Mar 8th, 2021 - about 5 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 1871600676 NPPES
Michigan MEDICAID 4831976
Michigan Other 0B41093

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