Brian Joseph Decker is a Family in Rigby, Idaho. Brian Joseph Decker practices all healthcare services and medical treatments related to Family. The NPI Number for Brian Joseph Decker is 1760421051. The last update date is 2023-05-20.
Brian Joseph Decker's current location address is 3863 E 300 N, Rigby, Idaho. You can contact this provider via phone number 2084034140. The mailing address for Brian Joseph Decker is 3863 E 300 N, Rigby, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brian Joseph Decker |
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Address | 3863 E 300 N, Rigby, Idaho |
Phone Number | 2084034140 |
Fax Number | |
Sole Proprietor | N |
Credentials | FNPC |
NPI Number Detail
NPI Number | 1760421051 |
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Provider Enumeration Date | 2006-06-05 |
Last Updated Date | 2023-05-20 |
Provider Mailing Address Detail
Address | 3863 E 300 N |
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City | Rigby |
State | Idaho (ID) |
Post Code | 834425423 |
Phone Number | 2084034140 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | NP616A |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
806669300 | ID | -- | |
NPXP9 | ID | BLUE CROSS OF IDAHO |
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What is the Brian Joseph Decker's unique identification number?
The Brian Joseph Decker has been assigned the NPI (National Provider Identifier) Number 1760421051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Brian Joseph Decker is located?
The Brian Joseph Decker is situated at the following address: 3863 E 300 N, Rigby, ID, 834425423.
What is the Brian Joseph Decker's specialty and taxonomy code?
The Brian Joseph Decker's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Brian Joseph Decker receive the assignment of its 1760421051 from the Centers for Medicare & Medicaid Services?
The Brian Joseph Decker was issued its 1760421051 by the Centers for Medicare & Medicaid Services on 2006-06-05.
As of what date were the details related to Brian Joseph Decker most recently updated or revised?
The information pertaining to Brian Joseph Decker, including its address, specialty, and other relevant details, was last updated or revised on 2023-05-20.
NPI Number: 1215930425
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