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Contact Information

TYLER HUDSON, MAT, LAT, ATC, CEIS
550 STADIUM MALL DRIVE
HAMP
WEST LAFAYETTE, IN47907
 Phone: 317-800-5137
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for TYLER HUDSON · (Male)

NPI # 1801372974
Status Active
Credentials MAT, LAT, ATC, CEIS
Entity Individual
Enumeration date 07/12/2018
Last updated 04/14/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 36002994A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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