Hudson, Dennis Michael

Hudson, Dennis Michael is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Hudson, Dennis Michael can be contacted via phone (920) 433-3500.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Fax: (920) 430-7114
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 34059 Wisconsin

Profile Details

NPI number 1497771273
LBN Legal business name Hudson, Dennis Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497771273 NPPES
Wisconsin MEDICAID 31203200

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