Funchess, Keneisha

Funchess, Keneisha is an individual health care provider with primary practice located at 117 Nassau St , Trenton NJ 08638-4116. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Funchess, Keneisha can be contacted via phone (609) 793-3711.

Contact Information

Primary practice address
117 Nassau St Trenton NJ 08638-4116
Phone: (609) 793-3711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X New Jersey

Profile Details

NPI number 1144974106
LBN Legal business name Funchess, Keneisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2022
Last updated Feb 9th, 2022 - about 3 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 1144974106 NPPES
New Jersey MEDICAID 37450000X

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