Walsh, Susan Marie
Walsh, Susan Marie is an individual health care provider with primary practice located at South Shore Health 55 Fogg Road, Weymouth MA 02190-2432. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Walsh, Susan Marie can be contacted via phone (617) 322-5252.Contact Information
Primary practice address
South Shore Health 55 Fogg Road
Weymouth MA 02190-2432
Phone: (617) 322-5252
Fax: (617) 322-5252
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 2182 | Massachusetts |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PD2182 | Massachusetts |
Profile Details
NPI number | 1083675573 |
---|---|
LBN Legal business name | Walsh, Susan Marie |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 1st, 2006 |
Last updated | Dec 5th, 2022 - about 2 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 | 1083675573 | NPPES |
Massachusetts | MEDICAID | 110024958A |
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