Lanez, Phillip

Lanez, Phillip is an sole proprietor health care provider with primary practice located at 317 Simons Ave , Hackensack NJ 07601-1817. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Lanez, Phillip can be contacted via phone (201) 881-6217.

Contact Information

Primary practice address
317 Simons Ave Hackensack NJ 07601-1817
Phone: (201) 881-6217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 40QB00363800 New Jersey

Profile Details

NPI number 1346844156
LBN Legal business name Lanez, Phillip
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2020
Last updated Nov 23rd, 2020 - about 5 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 1346844156 NPPES
New Jersey MEDICAID 40QB00363800

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