Van Decker, Shawn
Van Decker, Shawn is an individual health care provider with primary practice located at 611 Watkins Centre Pkwy , Midlothian VA 23114-4404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Van Decker, Shawn can be contacted via phone (804) 325-8822.Contact Information
Primary practice address
611 Watkins Centre Pkwy
Midlothian VA 23114-4404
Phone: (804) 325-8822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 2306603530 | Virginia |
Profile Details
| NPI number | 1861032427 |
|---|---|
| LBN Legal business name | Van Decker, Shawn |
| Credentials | PTA, OPTA, CPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2020 |
| Last updated | Jan 13th, 2020 - 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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