Mendez, Jenniliz

Mendez, Jenniliz is an sole proprietor health care provider with primary practice located at 559 Broad St , Newark NJ 07102-4503. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mendez, Jenniliz can be contacted via phone (973) 622-3890.

Contact Information

Primary practice address
559 Broad St Newark NJ 07102-4503
Phone: (973) 622-3890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA10572700 New Jersey

Profile Details

NPI number 1134514854
LBN Legal business name Mendez, Jenniliz
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2015
Last updated Jul 30th, 2019 - about 7 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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