Hudson, Robin Rae

Hudson, Robin Rae is an individual health care provider with primary practice located at 2719 Se I St , Bentonville AR 72712-3996. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hudson, Robin Rae can be contacted via phone (479) 273-5437.

Contact Information

Primary practice address
2719 Se I St Bentonville AR 72712-3996
Phone: (479) 273-5437
Fax: (479) 273-9932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-7441 Arkansas

Profile Details

NPI number 1396987772
LBN Legal business name Hudson, Robin Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2009
Last updated Jun 28th, 2013 - about 12 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 1396987772 NPPES
Arkansas MEDICAID 193450001

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