Delisle, Jason Ronald

Delisle, Jason Ronald is an individual health care provider with primary practice located at 178 Hartford Rd , Manchester CT 06040-5986. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Delisle, Jason Ronald can be contacted via phone (860) 649-9973.

Contact Information

Primary practice address
178 Hartford Rd Manchester CT 06040-5986
Phone: (860) 649-9973
Fax: (860) 647-7424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002748 Connecticut

Profile Details

NPI number 1780838805
LBN Legal business name Delisle, Jason Ronald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2008
Last updated Nov 17th, 2008 - about 18 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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