Provider Demographics
NPI:1215923214
Name:HUDSON, MARGARET LISLE (DC)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:LISLE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1281
Mailing Address - Country:US
Mailing Address - Phone:413-695-2738
Mailing Address - Fax:413-584-0708
Practice Address - Street 1:52 MAPLE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1281
Practice Address - Country:US
Practice Address - Phone:413-695-2738
Practice Address - Fax:413-584-0708
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2549111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAU85845Medicare UPIN
MAHUY45451Medicare ID - Type Unspecified