Hudson, Michelle J

Hudson, Michelle J is an individual health care provider with primary practice located at 401-55 W Allegheny Ave , Philadelphia PA 19133-3644. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Hudson, Michelle J can be contacted via phone (215) 291-2500.

Contact Information

Primary practice address
401-55 W Allegheny Ave Philadelphia PA 19133-3644
Phone: (215) 291-2500
Fax: (215) 291-2580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS027577L Pennsylvania

Profile Details

NPI number 1538124482
LBN Legal business name Hudson, Michelle J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jun 14th, 2011 - about 13 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 1538124482 NPPES
Pennsylvania MEDICAID 001622981

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