Niba, Jude

Niba, Jude is an individual health care provider with primary practice located at 9082 Vintage Wine Ave , Las Vegas NV 89148. He recently has only one registered license in Behavioral Health & Social Service Providers / Exercise & Sports, which is considered as his primary health care specialty. Niba, Jude can be contacted via phone (170) 232-8045.

Contact Information

Primary practice address
9082 Vintage Wine Ave Las Vegas NV 89148
Phone: (170) 232-8045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X 667 Nevada

Profile Details

NPI number 1821586512
LBN Legal business name Niba, Jude
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2018
Last updated Jun 16th, 2018 - about 7 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 1821586512 NPPES
Other 667 ASSOCIATION FOR APPLIED SPORT PSYCHOLOGY

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