Walsh, Alicia S

Walsh, Alicia S is an individual health care provider with primary practice located at 92 New London Turnpike , Norwich CT 06360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Walsh, Alicia S can be contacted via phone (860) 889-3401.

Contact Information

Primary practice address
92 New London Turnpike Norwich CT 06360
Fax: (860) 823-1782
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 002631 Connecticut

Profile Details

NPI number 1235221672
LBN Legal business name Walsh, Alicia S
Credentials APRN CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1235221672 NPPES
Other 230002361CT01 BLUECARE FAMILY PLAN
Other 026310 BLUECARE FAMILY PLAN
Other 230002361CT01 BLUECARE FAMILY PLAN
Other 400002631CT01 BLUECARE FAMILY PLAN
Other P3599013 BLUECARE FAMILY PLAN
Other 2V6241 BLUECARE FAMILY PLAN

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