Delisi, Jeanette
Delisi, Jeanette is an individual health care provider with primary practice located at 102 Elizabeth St Suite C, Jacksonville NC 28540-5676. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Delisi, Jeanette can be contacted via phone (910) 333-0814.Contact Information
Primary practice address
102 Elizabeth St Suite C
Jacksonville NC 28540-5676
Phone: (910) 333-0814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1578953832 |
|---|---|
| LBN Legal business name | Delisi, Jeanette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2015 |
| Last updated | Jan 26th, 2015 - about 11 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 | 1578953832 | NPPES |
| Massachusetts | MEDICAID | 110026265E |
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