Hudson, Jackie Lynn

Hudson, Jackie Lynn is an individual health care provider with primary practice located at 8333 Felch St , Zeeland MI 49464-2608. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Hudson, Jackie Lynn can be contacted via phone (616) 772-5793.

Contact Information

Primary practice address
8333 Felch St Zeeland MI 49464-2608
Phone: (616) 772-5793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 5201001619

Profile Details

NPI number 1023512894
LBN Legal business name Hudson, Jackie Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2018
Last updated Jun 16th, 2018 - about 7 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 1023512894 NPPES
Michigan MEDICAID 5201001619

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