Fanouse, Miriam Kerolus

Fanouse, Miriam Kerolus is an individual health care provider with primary practice located at 34 Mountain Blvd , Warren NJ 07059-2640. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Fanouse, Miriam Kerolus can be contacted via phone (347) 307-1381.

Contact Information

Primary practice address
34 Mountain Blvd Warren NJ 07059-2640
Phone: (347) 307-1381
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 22DI02942100 New Jersey

Profile Details

NPI number 1356761456
LBN Legal business name Fanouse, Miriam Kerolus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2014
Last updated Mar 5th, 2025 - about last year

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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