Dekorver, Nicholas William

Dekorver, Nicholas William is an individual health care provider with primary practice located at 1 Childrens Pl Div Neurology Pediatrics, Ste 2130, Saint Louis MO 63110-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dekorver, Nicholas William can be contacted via phone (314) 454-6120.

Contact Information

Primary practice address
1 Childrens Pl Div Neurology Pediatrics, Ste 2130 Saint Louis MO 63110-1002
Fax: (314) 454-4225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2024007984 Missouri

Profile Details

NPI number 1265092670
LBN Legal business name Dekorver, Nicholas William
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2019
Last updated Jul 17th, 2025 - about last year

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 1265092670 NPPES
Missouri MEDICAID 200071949

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