Hudson, Shane Gregory

Hudson, Shane Gregory is an individual health care provider with primary practice located at 25 Book Ln , Jacksonville IL 62650-2753. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Hudson, Shane Gregory can be contacted via phone (217) 271-7337.

Contact Information

Primary practice address
25 Book Ln Jacksonville IL 62650-2753
Phone: (217) 271-7337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096.005137 Illinois

Profile Details

NPI number 1356856181
LBN Legal business name Hudson, Shane Gregory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2017
Last updated Aug 6th, 2021 - 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.

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