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:
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Health care specialties

SpecialtyCodeLicense #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 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 1659419174 NPPES
New York MEDICAID 1659419174

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