Hudson, Wade L

Hudson, Wade L is an individual health care provider with primary practice located at 2360 Mullan Rd Ste C, Missoula MT 59808-1811. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Hudson, Wade L can be contacted via phone (406) 721-4436.

Contact Information

Primary practice address
2360 Mullan Rd Ste C Missoula MT 59808-1811
Phone: (406) 721-4436
Fax: (406) 721-3907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 273 Montana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 273 Montana

Profile Details

NPI number 1518908524
LBN Legal business name Hudson, Wade L
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Aug 26th, 2014 - about 10 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 1518908524 NPPES
Montana MEDICAID 043788

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