Hudson, Justin R

Hudson, Justin R is an individual health care provider with primary practice located at 350 W Wilson Bridge Rd Ste 200 , Worthington OH 43085-2591. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Hudson, Justin R can be contacted via phone (614) 895-8747.

Contact Information

Primary practice address
350 W Wilson Bridge Rd Ste 200 Worthington OH 43085-2591
Fax: (614) 895-8810
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000948A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36.003706 Ohio

Profile Details

NPI number 1487649000
LBN Legal business name Hudson, Justin R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 8th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487649000 NPPES
Ohio MEDICAID 0229556
Ohio Other H536080

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