Decorte, Michelle Angela

Decorte, Michelle Angela is an sole proprietor health care provider with primary practice located at 520 S El Camino Real Suite 814, San Mateo CA 94402-1726. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Decorte, Michelle Angela can be contacted via phone (650) 483-3845.

Contact Information

Primary practice address
520 S El Camino Real Suite 814 San Mateo CA 94402-1726
Phone: (650) 483-3845
Fax: (650) 347-9777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS19031 California

Profile Details

NPI number 1811946577
LBN Legal business name Decorte, Michelle Angela
Credentials R.N., L.C.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated May 2nd, 2011 - about 15 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 1811946577 NPPES
California MEDICAID CSW190310

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