Wixson, Frederic
Wixson, Frederic is an sole proprietor health care provider with primary practice located at 417 E Windsor Ave , Alexandria VA 22301-1227. He recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as his primary health care specialty. Wixson, Frederic can be contacted via phone (703) 739-8244.Contact Information
Primary practice address
417 E Windsor Ave
Alexandria VA 22301-1227
Phone: (703) 739-8244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 2305005410 | Virginia |
Profile Details
| NPI number | 1194363523 |
|---|---|
| LBN Legal business name | Wixson, Frederic |
| Credentials | MSPT, GCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2019 |
| Last updated | Apr 6th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194363523 | NPPES |
| Virginia | Other | 000000 | NONE |
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