Petithomme, Wadson
Petithomme, Wadson is an individual health care provider with primary practice located at 290 Massie Rd , Charlottesville VA 22903-1767. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Petithomme, Wadson can be contacted via phone (203) 726-0835.Contact Information
Primary practice address
290 Massie Rd
Charlottesville VA 22903-1767
Phone: (203) 726-0835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Connecticut | |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1629586003 |
|---|---|
| LBN Legal business name | Petithomme, Wadson |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2018 |
| Last updated | May 22nd, 2020 - about 6 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.
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