Woods Iii, Jesse Willard
Woods Iii, Jesse Willard is an sole proprietor health care provider with primary practice located at 1410 N 31St St , Philadelphia PA 19121-3870. He recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Meals, Transportation Services / Taxi, Transportation Services / Transportation Broker, Nursing Service Related Providers / Adult Companion, Transportation Services / Private Vehicle. Transportation Services / Private Vehicle is his primary health care specialty. Woods Iii, Jesse Willard can be contacted via phone (215) 258-3481.Contact Information
Primary practice address
1410 N 31St St
Philadelphia PA 19121-3870
Phone: (215) 258-3481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Other Service Providers / Community Health Worker | 172V00000X | Pennsylvania | |
| Other Service Providers / Meals | 174200000X | ||
| Transportation Services / Taxi | 344600000X | ||
| Transportation Services / Transportation Broker | 347E00000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | ||
| Transportation Services / Private Vehicle | 347C00000X |
Profile Details
| NPI number | 1033772405 |
|---|---|
| LBN Legal business name | Woods Iii, Jesse Willard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2019 |
| Last updated | Apr 3rd, 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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