Hudak, John Anthony
Hudak, John Anthony is an individual health care provider with primary practice located at 6301 University Commons Ste 350, South Bend IN 46635-1571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hudak, John Anthony can be contacted via phone (574) 234-4100.Contact Information
Primary practice address
6301 University Commons Ste 350
South Bend IN 46635-1571
Phone: (574) 234-4100
Fax: (574) 282-1739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01033777A | Indiana |
Profile Details
| NPI number | 1831194919 |
|---|---|
| LBN Legal business name | Hudak, John Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 1st, 2024 - about 2 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 | 1831194919 | NPPES |
| Indiana | Other | 264180DD | MEDICARE PTAN |
| Indiana | MEDICAID | 100357400 | MEDICARE PTAN |
| Indiana | Other | 000000086163 | MEDICARE PTAN |
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