Koedam, Wilhelmina Siny
Koedam, Wilhelmina Siny is an sole proprietor health care provider with primary practice located at 134 S Dixie Hwy Ste 104 , Hallandale Beach FL 33009-5423. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koedam, Wilhelmina Siny can be contacted via phone (954) 895-4248.Contact Information
Primary practice address
134 S Dixie Hwy Ste 104
Hallandale Beach FL 33009-5423
Phone: (954) 895-4248
Fax: (954) 921-5200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY0003507 | Florida |
Profile Details
| NPI number | 1023110863 |
|---|---|
| LBN Legal business name | Koedam, Wilhelmina Siny |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Mar 18th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023110863 | NPPES |
| Florida | Other | 650030104 | TAX ID |
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