Hudson, Bryan K

Hudson, Bryan K is an individual health care provider with primary practice located at 1700 W Stout St , Rice Lake WI 54868-5000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hudson, Bryan K can be contacted via phone (715) 236-8104.

Contact Information

Primary practice address
1700 W Stout St Rice Lake WI 54868-5000
Phone: (715) 236-8104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1632 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.005985RX Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000874A Indiana

Profile Details

NPI number 1073600508
LBN Legal business name Hudson, Bryan K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Nov 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073600508 NPPES
Ohio MEDICAID 0360999

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