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
Fax: (920) 433-7453
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851373823 NPPES
Delaware MEDICAID 0000318903

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