Hudson, Albert W.

Hudson, Albert W. is an individual health care provider with primary practice located at 698 Featherstone Rd , Rockford IL 61107-6303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Hudson, Albert W. can be contacted via phone (815) 398-3277.

Contact Information

Primary practice address
698 Featherstone Rd Rockford IL 61107-6303
Phone: (815) 398-3277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 55177 Wisconsin
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 036045616 Illinois

Profile Details

NPI number 1053391334
LBN Legal business name Hudson, Albert W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jan 19th, 2015 - about 11 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 1053391334 NPPES
Illinois MEDICAID 036045616

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