Walsh, John Alan

Walsh, John Alan is an sole proprietor health care provider with primary practice located at 14 Office Park Dr Ste 7 , Palm Coast FL 32137-3830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Walsh, John Alan can be contacted via phone (386) 302-5064.

Contact Information

Primary practice address
14 Office Park Dr Ste 7 Palm Coast FL 32137-3830
Phone: (386) 302-5064
Fax: (386) 302-5093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME78805 Florida

Profile Details

NPI number 1932271541
LBN Legal business name Walsh, John Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 29th, 2021 - about 3 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 1932271541 NPPES
Florida Other 225976 HEALTHEASE MEDICAID
Florida Other P00119721 HEALTHEASE MEDICAID
Florida Other Q0466 HEALTHEASE MEDICAID
Florida MEDICAID 111087700 HEALTHEASE MEDICAID

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