Walsh, Gregory C
Walsh, Gregory C is an individual health care provider with primary practice located at 20 Isham Rd Suite 150, West Hartford CT 06107-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Walsh, Gregory C can be contacted via phone (860) 527-1669.Contact Information
Primary practice address
20 Isham Rd Suite 150
West Hartford CT 06107-2204
Phone: (860) 527-1669
Fax: (860) 293-0783
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 021042 | Connecticut |
Profile Details
NPI number | 1063496883 |
---|---|
LBN Legal business name | Walsh, Gregory C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 5th, 2005 |
Last updated | May 24th, 2011 - about 14 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 | 1063496883 | NPPES |
Connecticut | MEDICAID | 1210426 | |
Connecticut | Other | 010021042CT01 |
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