Walsh, Jodi Elizabeth

Walsh, Jodi Elizabeth is an individual health care provider with primary practice located at 61 Bradley St Ste 7 , Bristol CT 06010-5103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Walsh, Jodi Elizabeth can be contacted via phone (860) 314-6898.

Contact Information

Primary practice address
61 Bradley St Ste 7 Bristol CT 06010-5103
Phone: (860) 314-6898
Fax: (860) 314-6896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001279 Connecticut

Profile Details

NPI number 1497722649
LBN Legal business name Walsh, Jodi Elizabeth
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 7th, 2023 - 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 1497722649 NPPES
Other 001279 LIC NUMBER
Other 012790 LIC NUMBER

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