Hudock, Marcus W.

Hudock, Marcus W. is an individual health care provider with primary practice located at 1001 Galaxy Way Ste 400 , Concord CA 94520-5725. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Hudock, Marcus W. can be contacted via phone (925) 225-5837.

Contact Information

Primary practice address
1001 Galaxy Way Ste 400 Concord CA 94520-5725
Phone: (925) 225-5837
Fax: (925) 225-5838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X PA15978 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15978 California

Profile Details

NPI number 1285643213
LBN Legal business name Hudock, Marcus W.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Apr 9th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285643213 NPPES
California MEDICAID PA15978

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