Walsh, Susan Sarita

Walsh, Susan Sarita is an individual health care provider with primary practice located at 228 Ne Jefferson Ave , Peoria IL 61603-3802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Walsh, Susan Sarita can be contacted via phone (309) 672-3100.

Contact Information

Primary practice address
228 Ne Jefferson Ave Peoria IL 61603-3802
Phone: (309) 672-3100
Fax: (309) 671-3711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209028319 Illinois

Profile Details

NPI number 1821877010
LBN Legal business name Walsh, Susan Sarita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2023
Last updated Jan 15th, 2024 - 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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