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Contact Information

SADIE A DECKARD, PA-C
1717 W MAIN ST STE 201
NEWARK, OH43055
 Phone: 220-564-2900
 Fax: 220-564-2901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SADIE A DECKARD · (Female)

NPI Number 1831698729
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/06/2018
Last updated 12/07/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601008575
Hospital affiliation(s)
  • ALLEGIANCE HEALTH - (Acute Care)
    205 N EAST AVE
    JACKSON, MI 49201
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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