Frontera, Faith Reanne

Frontera, Faith Reanne is an sole proprietor health care provider with primary practice located at 22180 Pontiac Trl Ste E , South Lyon MI 48178-9097. 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. Frontera, Faith Reanne can be contacted via phone (248) 446-0155.

Contact Information

Primary practice address
22180 Pontiac Trl Ste E South Lyon MI 48178-9097
Phone: (248) 446-0155
Fax: (248) 446-0177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7501004084 Michigan

Profile Details

NPI number 1649814922
LBN Legal business name Frontera, Faith Reanne
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2019
Last updated Oct 30th, 2019 - about 6 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 1649814922 NPPES
Michigan Other 7501004084 STATE LICENSE

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