Hudson, Niekema

Hudson, Niekema is an individual health care provider with primary practice located at 2412 Irwin St Ste 251 , Melbourne FL 32901-7316. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Hudson, Niekema can be contacted via phone (321) 952-5900.

Contact Information

Primary practice address
2412 Irwin St Ste 251 Melbourne FL 32901-7316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1912162 Illinois
Behavioral Health & Social Service Providers / School 103TS0200X 1316423 Florida
Behavioral Health & Social Service Providers / School 103TS0200X SS1824 Florida

Profile Details

NPI number 1487167318
LBN Legal business name Hudson, Niekema
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2017
Last updated Nov 4th, 2023 - about last year

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 1487167318 NPPES
Illinois Other 1912162 ILLINOIS STATE BOARD OF EDUCATION
Illinois Other SS1824 ILLINOIS STATE BOARD OF EDUCATION
Illinois Other 1316423 ILLINOIS STATE BOARD OF EDUCATION

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