Walsh, Stephen M
Walsh, Stephen M is an individual health care provider with primary practice located at 78 Ridgewood Dr , Bangor ME 04401-2652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Walsh, Stephen M can be contacted via phone (207) 307-8901.Contact Information
Primary practice address
78 Ridgewood Dr
Bangor ME 04401-2652
Phone: (207) 307-8901
Fax: (207) 307-8911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 036115376 | Illinois |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 17389 | Maine |
Profile Details
| NPI number | 1386690501 |
|---|---|
| LBN Legal business name | Walsh, Stephen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jul 16th, 2021 - about 3 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 | 1386690501 | NPPES |
| Maine | MEDICAID | 432654299 | |
| Maine | Other | P00460654 |
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