Hudson, Samuel David

Hudson, Samuel David is an sole proprietor 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, Samuel David can be contacted via phone (606) 932-2079.

Contact Information

Primary practice address
137 State Route 3117 South Shore KY 41175-9597
Phone: (606) 932-2079
Fax: (606) 932-2313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56722 Kentucky

Profile Details

NPI number 1912560202
LBN Legal business name Hudson, Samuel David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2019
Last updated Jun 22nd, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912560202 NPPES
Ohio Other 0492219 OHIO MEDICAID
Ohio MEDICAID 7100681350 OHIO MEDICAID

Popular Providers