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Contact Information

JONATHAN G DECK
46961 VANDYKE AVE
SHEBY TOWNSHIP, MI48317
 Phone: 586-991-5205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JONATHAN G DECK · (Male)

NPI # 1437645959
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2018
Last updated 07/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601008727
Hospital affiliation(s) Not Available
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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