Petit-Frere, Woodson
Petit-Frere, Woodson is an individual health care provider with primary practice located at 840 S Wood St Ste 920S , Chicago IL 60612-4325. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Petit-Frere, Woodson can be contacted via phone (312) 996-6730.Contact Information
Primary practice address
840 S Wood St Ste 920S
Chicago IL 60612-4325
Phone: (312) 996-6730
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 028857-1 | New Jersey |
Profile Details
NPI number | 1659419174 |
---|---|
LBN Legal business name | Petit-Frere, Woodson |
Credentials | MD, PT, DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 5th, 2007 |
Last updated | Apr 13th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659419174 | NPPES |
New York | MEDICAID | 1659419174 |
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