Frizzelle, Lennetta Q

Frizzelle, Lennetta Q is an individual health care provider with primary practice located at 41 Grant Ave , Jersey City NJ 07305-3543. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Frizzelle, Lennetta Q can be contacted via phone (201) 948-9935.

Contact Information

Primary practice address
41 Grant Ave Jersey City NJ 07305-3543
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 18KT00446900 New Jersey

Profile Details

NPI number 1689290744
LBN Legal business name Frizzelle, Lennetta Q
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2020
Last updated Jun 24th, 2020 - about 4 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 1689290744 NPPES
New Jersey MEDICAID F74664577857912

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