Hudson, Gary W
Hudson, Gary W is an individual health care provider with primary practice located at 1105 Eagletree Ln Se , Huntsville AL 35801-6447. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Hudson, Gary W can be contacted via phone (256) 882-7873.Contact Information
Primary practice address
1105 Eagletree Ln Se
Huntsville AL 35801-6447
Phone: (256) 882-7873
Fax: (256) 882-7874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 12133 | Alabama |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3677 | Alabama |
Profile Details
| NPI number | 1447214424 |
|---|---|
| LBN Legal business name | Hudson, Gary W |
| Credentials | D.M.D., M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Oct 12th, 2009 - about 16 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 | 1447214424 | NPPES |
| Alabama | Other | 760775732 | PRINCIPAL |
| Alabama | Other | 760775732 | PRINCIPAL |
| Alabama | MEDICAID | 008606360 | PRINCIPAL |
| Alabama | Other | 760775732 | PRINCIPAL |
| Alabama | Other | 760775732 | PRINCIPAL |
| Alabama | Other | 760775732 | PRINCIPAL |
| Alabama | Other | 760775732 | PRINCIPAL |
| Alabama | Other | 760775732 | PRINCIPAL |
| Alabama | Other | 760775732 | PRINCIPAL |
| Alabama | Other | 720892 | PRINCIPAL |
| Alabama | Other | 760775732 | PRINCIPAL |
| Alabama | Other | 51000927 | PRINCIPAL |
| Alabama | Other | 760775732 | PRINCIPAL |
| Alabama | Other | 760775732 | PRINCIPAL |
| Alabama | Other | 760775732 | PRINCIPAL |
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