Walsh, John Michael
Walsh, John Michael is an sole proprietor health care provider with primary practice located at 2052 3Rd Ave , Rock Island IL 61201-8803. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Walsh, John Michael can be contacted via phone (309) 794-1097.Contact Information
Primary practice address
2052 3Rd Ave
Rock Island IL 61201-8803
Phone: (309) 794-1097
Fax: (309) 794-1208
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180009182 | Illinois |
Profile Details
NPI number | 1841536794 |
---|---|
LBN Legal business name | Walsh, John Michael |
Credentials | LCPC,CADC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 21st, 2012 |
Last updated | Jul 2nd, 2014 - about 10 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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