Albert W. Hudson
Dermatologist Dermatopathologist
698 Featherstone Rd
Rockford
, Illinois 61107-6303
Albert W. Hudson
Dermatologist Dermatopathologist
698 Featherstone Rd
Rockford
, Illinois 61107-6303
(815) 398-3277
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Albert W. Hudson
- 698 Featherstone Rd
- Rockford, IL
- Zip : 61107-6303
- Phone : (815) 398-3277
Second Address
- Albert W. Hudson
- 698 Featherstone Rd
- Rockford, IL
- Zip : 61107-6303
- Phone : (815) 398-3277
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 55177 | WI |
| Y | 207ND0900X | Dermatopathologist | 036045616 | IL |
National Provider Identifier
| NPI | 1053391334 |
|---|---|
| Provider Name | Albert W. Hudson |
| First Address | Rockford, IL 61107-6303 |
| Second Address | Rockford, IL 61107-6303 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/01/2006 |
| Last Update Date | 19/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036045616 | (05) | IL |
| C38465 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.