Walsh, John Stephen
Walsh, John Stephen is an individual health care provider with primary practice located at 369 East Main Street Suite 3, East Islip NY 11730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walsh, John Stephen can be contacted via phone (631) 381-4500.Contact Information
Primary practice address
369 East Main Street Suite 3
East Islip NY 11730
Phone: (631) 381-4500
Fax: (631) 581-5905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 210572 | New York |
Profile Details
| NPI number | 1033131883 |
|---|---|
| LBN Legal business name | Walsh, John Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1033131883 | NPPES |
| New York | MEDICAID | 01871796 |
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