Delisser, Horace M
Delisser, Horace M is an individual health care provider with primary practice located at 3400 Spruce Street 3 Ravdin Building, Suite F, Philadelphia PA 19104-4206. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Delisser, Horace M can be contacted via phone (215) 662-3202.Contact Information
Primary practice address
3400 Spruce Street 3 Ravdin Building, Suite F
Philadelphia PA 19104-4206
Phone: (215) 662-3202
Fax: (215) 349-8432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD038549E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD038549E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD038549E | Pennsylvania |
Profile Details
| NPI number | 1578577094 |
|---|---|
| LBN Legal business name | Delisser, Horace M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Sep 12th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578577094 | NPPES |
| Pennsylvania | MEDICAID | 0011935000001 |
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