Niemi Judge, Rhonda S

Niemi Judge, Rhonda S is an individual health care provider with primary practice located at 3710 57Th Ave , Kenosha WI 53144-4820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Niemi Judge, Rhonda S can be contacted via phone (262) 652-1474.

Contact Information

Primary practice address
3710 57Th Ave Kenosha WI 53144-4820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2797-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2797-033 Wisconsin

Profile Details

NPI number 1588651244
LBN Legal business name Niemi Judge, Rhonda S
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Jan 15th, 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 1588651244 NPPES
Wisconsin MEDICAID 39-1805927

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