Hudson, Albert W.
Hudson, Albert W. is an individual health care provider with primary practice located at 698 Featherstone Rd , Rockford IL 61107-6303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Hudson, Albert W. can be contacted via phone (815) 398-3277.Contact Information
Primary practice address
698 Featherstone Rd
Rockford IL 61107-6303
Phone: (815) 398-3277
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 55177 | Wisconsin |
Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 036045616 | Illinois |
Profile Details
NPI number | 1053391334 |
---|---|
LBN Legal business name | Hudson, Albert W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2006 |
Last updated | Jan 19th, 2015 - about 9 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 | 1053391334 | NPPES |
Illinois | MEDICAID | 036045616 |
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