Walsh, Bradley Jefferson

Walsh, Bradley Jefferson is an individual health care provider with primary practice located at 909 Unity Rd , Crossett AR 71635-9444. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walsh, Bradley Jefferson can be contacted via phone (870) 364-9111.

Contact Information

Primary practice address
909 Unity Rd Crossett AR 71635-9444
Phone: (870) 364-9111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-5429 Arkansas

Profile Details

NPI number 1871715904
LBN Legal business name Walsh, Bradley Jefferson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated May 16th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871715904 NPPES
Arkansas MEDICAID 176035001

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