Hudson, Jeffrey D

Hudson, Jeffrey D is an individual health care provider with primary practice located at 7232 Engle Rd , Fort Wayne IN 46804-2222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hudson, Jeffrey D can be contacted via phone (260) 436-7205.

Contact Information

Primary practice address
7232 Engle Rd Fort Wayne IN 46804-2222
Phone: (260) 436-7205
Fax: (260) 432-1339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01056335A Indiana

Profile Details

NPI number 1831196765
LBN Legal business name Hudson, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 9th, 2009 - about 17 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 1831196765 NPPES
Indiana MEDICAID 200487390
Indiana Other P00153192

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