Hudson, Gregory

Hudson, Gregory is an individual health care provider with primary practice located at 137 State Route 3117 , South Shore KY 41175-9597. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hudson, Gregory can be contacted via phone (606) 932-2079.

Contact Information

Primary practice address
137 State Route 3117 South Shore KY 41175-9597
Fax: (606) 932-2313
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35061298 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25242 Kentucky

Profile Details

NPI number 1245234277
LBN Legal business name Hudson, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Feb 22nd, 2021 - about 5 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 1245234277 NPPES
Ohio MEDICAID 0816415
Ohio MEDICAID 7100373950
Ohio Other 64252422

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