Dekker, Michael A.

Dekker, Michael A. is an sole proprietor health care provider with primary practice located at 3640 W Osborn Rd Ste 1 , Phoenix AZ 85019-4006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Dekker, Michael A. can be contacted via phone (602) 269-5300.

Contact Information

Primary practice address
3640 W Osborn Rd Ste 1 Phoenix AZ 85019-4006
Phone: (602) 269-5300
Fax: (602) 269-5380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 006406 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 006406 Arizona

Profile Details

NPI number 1790911246
LBN Legal business name Dekker, Michael A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2009
Last updated Sep 22nd, 2021 - about 4 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 1790911246 NPPES
Arizona MEDICAID 061842

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