Delisser, Opal M

Delisser, Opal M is an individual health care provider with primary practice located at 3 Cooper Plz Suite 311, Camden NJ 08103-1438. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Delisser, Opal M can be contacted via phone (856) 342-2034.

Contact Information

Primary practice address
3 Cooper Plz Suite 311 Camden NJ 08103-1438
Phone: (856) 342-2034
Fax: (856) 342-6608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NR07295200 New Jersey

Profile Details

NPI number 1588857130
LBN Legal business name Delisser, Opal M
Credentials APN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2007
Last updated Apr 26th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588857130 NPPES
New Jersey Other NR07295200 NJ MEDICAL LICENSE

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