Walsh, Brendan

Walsh, Brendan is an individual health care provider with primary practice located at 77 Mill St , Westfield MA 01085-4598. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Walsh, Brendan can be contacted via phone (413) 572-4101.

Contact Information

Primary practice address
77 Mill St Westfield MA 01085-4598
Phone: (413) 572-4101
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1669730636
LBN Legal business name Walsh, Brendan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated Apr 27th, 2012 - about 14 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 1669730636 NPPES
Massachusetts MEDICAID 1300881

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