Hudelson, Peggy
Hudelson, Peggy is an individual health care provider with primary practice located at 1637 Honey Hole Rd , White Haven PA 18661-3405. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Hudelson, Peggy can be contacted via phone (570) 443-8887.Contact Information
Primary practice address
1637 Honey Hole Rd
White Haven PA 18661-3405
Phone: (570) 443-8887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | RN199141L | Pennsylvania |
Profile Details
| NPI number | 1205435542 |
|---|---|
| LBN Legal business name | Hudelson, Peggy |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2020 |
| Last updated | Oct 19th, 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 | 1205435542 | NPPES |
| Pennsylvania | MEDICAID | 5N87HC5HW34 |
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