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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023110863 NPPES
Florida Other 650030104 TAX ID

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