National Provider Identifier Database

ALYSSA DECKER, DO – NPI #1104447218
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

ALYSSA DECKER, DO
2165 WHITE BEAR AVE N
MAPLEWOOD, MN55109-2707
Phone: 651-523-9800
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for ALYSSA DECKER

NPI Number 1104447218
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/29/2020
Last updated 08/03/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 125.075864
  • MN License #: 74929
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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