Dr Charles Henry Decker, DC | |
5570 Sanchez Dr Ste 100, San Jose, CA 95123-1119 | |
(408) 262-7111 | |
(408) 266-4872 |
Full Name | Dr Charles Henry Decker |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 38 Years |
Location | 5570 Sanchez Dr Ste 100, San Jose, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710948690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC0183770 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carl F Dieter A Professional Chiropractic Corp | 5991981474 | 3 |
Provider Name | Carl F Dieter A Professional Chiropractic Corp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174623250 PECOS PAC ID: 5991981474 Enrollment ID: O20110518000050 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Henry Decker, DC 5570 Sanchez Dr Ste 100, San Jose, CA 95123-1119 Ph: (408) 262-7111 | Dr Charles Henry Decker, DC 5570 Sanchez Dr Ste 100, San Jose, CA 95123-1119 Ph: (408) 262-7111 |
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