Walsh, John W

Walsh, John W is an individual health care provider with primary practice located at 5300 Elliott Dr , Ypsilanti MI 48197-8632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Walsh, John W can be contacted via phone (734) 434-6262.

Contact Information

Primary practice address
5300 Elliott Dr Ypsilanti MI 48197-8632
Phone: (734) 434-6262
Fax: (734) 712-2820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 056299 Michigan

Profile Details

NPI number 1982684643
LBN Legal business name Walsh, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 14th, 2010 - about 15 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 1982684643 NPPES
Michigan Other 0811009 BCBS INDIVIDUAL
Michigan Other 1777972001 BCBS INDIVIDUAL
Michigan Other 014990 BCBS INDIVIDUAL
Michigan Other 0H14989 BCBS INDIVIDUAL
Michigan Other 100005954 BCBS INDIVIDUAL
Michigan Other 4403997 BCBS INDIVIDUAL
Michigan MEDICAID 2919708 BCBS INDIVIDUAL

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