JESSE WILLARD WOODS III
NPI 1033772405
Private Vehicle in Philadelphia, PA
Active since April 20, 2019
About Jesse Willard Woods Iii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE WILLARD WOODS III (NPI 1033772405) is an individual private vehicle provider in Philadelphia, Pennsylvania and active in the NPI registry since April 2019.
NPPES Registry Identity
NPI1033772405
Entity TypeIndividualMale
Primary Taxonomy347C00000X
Provider Legal NameJESSE WILLARD WOODS III
Location Address1410 N 31ST STPhiladelphia, PA 19121-3870
Mailing Address1410 N 31st StPhiladelphia, PA 19121-3870 · (215) 258-3481
Phone(215) 258-3481
Sole ProprietorYes
Enumeration DateApril 20, 2019
Last NPPES UpdateApril 3, 20203 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1033772405 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 8
★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Also ListedCounselor · SchoolTaxonomy 101YS0200X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedMealsTaxonomy 174200000X
Also ListedTaxiTaxonomy 344600000X
Also ListedTransportation BrokerTaxonomy 347E00000X
Also ListedAdult CompanionTaxonomy 372600000X
1410 N 31ST ST, Philadelphia, PA 19121
Other Names 1
Professional Name (2)Tiger D Raven-melchiz El
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033772405, enumerated as an "individual" on April 20, 2019.
The provider is located at 1410 N 31ST ST PHILADELPHIA, PA 19121 and the phone number is (215) 258-3481.
Private Vehicle with taxonomy code 347C00000X.
