DPMDECKERPRCT LLC NPI 1407146897

NPI Information

NPI: 1407146897
Provider Name: DPMDECKERPRCT LLC

Doing Business As: JENNIFER DECKER, DPM

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
300 HEBRON AVE
SUITE 211
GLASTONBURY, CT
ZIP 06033
Phone: (860) 657-3668
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DPMDECKERPRCT LLC is a foot and ankle surgery podiatrist in Glastonbury, CT. DPMDECKERPRCT LLC NPI is 1407146897. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jennifer Decker, Dpm.

The provider's business location address is:

300 HEBRON AVE
SUITE 211
GLASTONBURY, CT
ZIP 06033-176
Phone: (860) 657-3668
Fax: (860) 657-1678

The provider's authorized official is Jennifer Decker .
The authorized official title is Owner and has the following contact phone number (860) 657-3668.

The enumeration date for this NPI number is 4/19/2011 and was last updated on 4/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	000853	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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