Fanelli, Marissa Anne
Fanelli, Marissa Anne is an individual health care provider with primary practice located at 741 Broadway , Newark NJ 07104-4309. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fanelli, Marissa Anne can be contacted via phone (973) 483-1300.Contact Information
Primary practice address
741 Broadway
Newark NJ 07104-4309
Phone: (973) 483-1300
Fax: (973) 483-3787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 22HI00901200 | New Jersey |
Profile Details
| NPI number | 1750650859 |
|---|---|
| LBN Legal business name | Fanelli, Marissa Anne |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2011 |
| Last updated | Dec 19th, 2011 - about 14 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 | 1750650859 | NPPES |
| New Jersey | Other | 22HI00901200 | RDH LICENSE NUMBER |
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