Walsh, Joseph A
Walsh, Joseph A is an individual health care provider with primary practice located at 263 Farmington Ave Provider Enrollment, Farmington CT 06030-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Walsh, Joseph A can be contacted via phone (860) 679-7503.Contact Information
Primary practice address
263 Farmington Ave Provider Enrollment
Farmington CT 06030-2212
Phone: (860) 679-7503
Fax: (860) 679-1610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 027850 | Connecticut |
Profile Details
| NPI number | 1518964899 |
|---|---|
| LBN Legal business name | Walsh, Joseph A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jun 15th, 2012 - about 12 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 | 1518964899 | NPPES |
| Connecticut | MEDICAID | 1278506 |
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