Walsh, Marissa Lynn
Walsh, Marissa Lynn is an individual health care provider with primary practice located at 430 Pennsylvania Ave , Glen Ellyn IL 60137-4464. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Walsh, Marissa Lynn can be contacted via phone (630) 545-7855.Contact Information
Primary practice address
430 Pennsylvania Ave
Glen Ellyn IL 60137-4464
Phone: (630) 545-7855
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085006976 | Illinois |
Profile Details
NPI number | 1386115350 |
---|---|
LBN Legal business name | Walsh, Marissa Lynn |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 16th, 2018 |
Last updated | Jul 28th, 2023 - about last year |
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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