Walsh, Brian John
Walsh, Brian John is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Walsh, Brian John can be contacted via phone (920) 433-7451.Contact Information
Primary practice address
744 S Webster Ave
Green Bay WI 54301-3505
Phone: (920) 433-7451
Fax: (920) 433-7453
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | C20003705 | Delaware |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 20955-875 | Wisconsin |
Profile Details
NPI number | 1851373823 |
---|---|
LBN Legal business name | Walsh, Brian John |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2005 |
Last updated | Aug 10th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851373823 | NPPES |
Delaware | MEDICAID | 0000318903 |
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