Nelissen, Debra Jean

Nelissen, Debra Jean is an sole proprietor health care provider with primary practice located at 725 Aces Place Box 79, Riggins ID 83549. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nelissen, Debra Jean can be contacted via phone (208) 628-4106.

Contact Information

Primary practice address
725 Aces Place Box 79 Riggins ID 83549
Phone: (208) 628-4106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 810 Hawaii

Profile Details

NPI number 1093724965
LBN Legal business name Nelissen, Debra Jean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Aug 2nd, 2016 - about 10 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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