Juedes, Nicole E.

Juedes, Nicole E. is an individual health care provider with primary practice located at 2105 E. Enterprise Ave. Suite 111, Appleton WI 54913-7862. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Juedes, Nicole E. can be contacted via phone (920) 731-6611.

Contact Information

Primary practice address
2105 E. Enterprise Ave. Suite 111 Appleton WI 54913-7862
Phone: (920) 731-6611
Fax: (920) 731-6732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 111971 Wisconsin
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1629218417
LBN Legal business name Juedes, Nicole E.
Credentials Certified Surgical Technologist (CST)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2009
Last updated Nov 4th, 2014 - about 12 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 1629218417 NPPES
Other 111971 NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
Other 140411 NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING

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