Hudson, Henry L
Hudson, Henry L is an individual health care provider with primary practice located at 5565 Grossmont Center Dr. Bldg3 Ste 551, La Mesa CA 91942-9194. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Hudson, Henry L can be contacted via phone (800) 898-2020.Contact Information
Primary practice address
5565 Grossmont Center Dr. Bldg3 Ste 551
La Mesa CA 91942-9194
Phone: (800) 898-2020
Fax: (844) 897-3788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 24189 | Arizona |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G76091 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD2014-0974 | New Mexico |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | MD2014-0974 | New Mexico |
Profile Details
| NPI number | 1851349195 |
|---|---|
| LBN Legal business name | Hudson, Henry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1851349195 | NPPES |
| Arizona | Other | 343955 | AHCCCS |
| Arizona | MEDICAID | 55109039 | AHCCCS |
| Arizona | Other | 2629305001 | AHCCCS |
| Arizona | Other | 629190 | AHCCCS |
| Arizona | Other | AZ0392720 | AHCCCS |
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