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
Phone: (920) 433-3500
Fax: (920) 430-7114
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497771273 | NPPES |
Wisconsin | MEDICAID | 31203200 |
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