Opal, Jeffery

Opal, Jeffery is an individual health care provider with primary practice located at 357 Cornelia St , Plattsburgh NY 12901-2211. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Opal, Jeffery can be contacted via phone (518) 561-2100.

Contact Information

Primary practice address
357 Cornelia St Plattsburgh NY 12901-2211
Phone: (518) 561-2100
Fax: (518) 561-7097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 36185 New York

Profile Details

NPI number 1922287457
LBN Legal business name Opal, Jeffery
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2007
Last updated Nov 1st, 2007 - about 19 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 1922287457 NPPES
New York MEDICAID 00483674

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