Wiedeke, Nicole

Wiedeke, Nicole is an sole proprietor health care provider with primary practice located at 9041 Nw 12Th Court , Pembroke Pines FL 33024. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wiedeke, Nicole can be contacted via phone (954) 825-9281.

Contact Information

Primary practice address
9041 Nw 12Th Court Pembroke Pines FL 33024
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA72749 Florida

Profile Details

NPI number 1336699818
LBN Legal business name Wiedeke, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2016
Last updated Oct 10th, 2016 - about 10 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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