Hudson, Tarynce

Hudson, Tarynce is an sole proprietor health care provider with primary practice located at 4216 W 28Th St. , Pine Bluff AR 71603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Hudson, Tarynce can be contacted via phone (501) 653-3676.

Contact Information

Primary practice address
4216 W 28Th St. Pine Bluff AR 71603
Phone: (501) 653-3676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 1210681743 Arkansas
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X 1210681743 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1210644080 Arkansas

Profile Details

NPI number 1295463610
LBN Legal business name Hudson, Tarynce
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2022
Last updated Aug 12th, 2022 - about 3 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 1295463610 NPPES
Arkansas MEDICAID 236

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