Hudson, Michael R
Hudson, Michael R is an individual health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001-3118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hudson, Michael R can be contacted via phone (928) 774-1693.Contact Information
Primary practice address
1200 N Beaver St
Flagstaff AZ 86001-3118
Phone: (928) 774-1693
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34553 | Arizona |
Profile Details
| NPI number | 1659399293 |
|---|---|
| LBN Legal business name | Hudson, Michael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Sep 15th, 2020 - about 4 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 | 1659399293 | NPPES |
| Arizona | MEDICAID | 043616 | |
| Arizona | Other | 34593 | |
| Arizona | Other | P00457905 |
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