Decoste, Michelle

Decoste, Michelle is an individual health care provider with primary practice located at 401 N Ewing St , Lancaster OH 43130-3372. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Decoste, Michelle can be contacted via phone (740) 687-8000.

Contact Information

Primary practice address
401 N Ewing St Lancaster OH 43130-3372
Fax: (740) 687-8357
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35042742D Ohio

Profile Details

NPI number 1083609978
LBN Legal business name Decoste, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jul 7th, 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 1083609978 NPPES
Ohio MEDICAID 0381064

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