Walsh, Martin J
Walsh, Martin J is an individual health care provider with primary practice located at 711 Veterans Memorial Pkwy Ste 300 , Saint Charles MO 63303-2106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Walsh, Martin J can be contacted via phone (636) 669-2350.Contact Information
Primary practice address
711 Veterans Memorial Pkwy Ste 300
Saint Charles MO 63303-2106
Phone: (636) 669-2350
Fax: (636) 669-2360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 33459 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33459 | Missouri |
Profile Details
| NPI number | 1417918202 |
|---|---|
| LBN Legal business name | Walsh, Martin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Oct 27th, 2020 - about 4 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 | 1417918202 | NPPES |
| Missouri | MEDICAID | 200796100 |
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