Fraider, Laura
Fraider, Laura is an sole proprietor health care provider with primary practice located at 1040 Dixie Hwy , Chicago Heights IL 60411-2623. She recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Agencies / Home Health, Ambulatory Health Care Facilities / Adult Mental Health, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is her primary health care specialty. Fraider, Laura can be contacted via phone (708) 300-6961.Contact Information
Primary practice address
1040 Dixie Hwy
Chicago Heights IL 60411-2623
Phone: (708) 300-6961
Fax: (708) 515-9723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | ||
| Agencies / Home Health | 251E00000X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1437589355 |
|---|---|
| LBN Legal business name | Fraider, Laura |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2013 |
| Last updated | Nov 13th, 2013 - about 12 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 | 1437589355 | NPPES |
| Illinois | Other | 160000354 | PTA LICENSURE |
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