Walsh, Joseph Ryan

Walsh, Joseph Ryan is an individual health care provider with primary practice located at 100 Entrance Way Dept Neurological Surgery, Ste B, Saint Peters MO 63376-1645. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Walsh, Joseph Ryan can be contacted via phone (636) 916-7140.

Contact Information

Primary practice address
100 Entrance Way Dept Neurological Surgery, Ste B Saint Peters MO 63376-1645
Phone: (636) 916-7140
Fax: (636) 916-7139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2016004094 Missouri

Profile Details

NPI number 1962867457
LBN Legal business name Walsh, Joseph Ryan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2015
Last updated Apr 25th, 2024 - about 7 months 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 1962867457 NPPES
Missouri MEDICAID 220035332

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