Walsh, Mark

Walsh, Mark is an individual health care provider with primary practice located at 1623 Morgantown Rd , Reading PA 19607-9455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Walsh, Mark can be contacted via phone (272) 228-0476.

Contact Information

Primary practice address
1623 Morgantown Rd Reading PA 19607-9455
Phone: (272) 228-0476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS007757L Pennsylvania

Profile Details

NPI number 1174513675
LBN Legal business name Walsh, Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 24th, 2019 - about 6 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 1174513675 NPPES
Pennsylvania Other 1775120 BLUE CARE
Pennsylvania Other 819322 BLUE CARE
Pennsylvania Other 4407486 BLUE CARE
Pennsylvania Other P00292337 BLUE CARE
Pennsylvania Other 95285-1067 BLUE CARE
Pennsylvania Other 50076569 BLUE CARE
Pennsylvania Other 001540071 BLUE CARE
Pennsylvania MEDICAID 001540071-0005 BLUE CARE
Pennsylvania Other 20041481 BLUE CARE

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