Walsh, Douglas A

Walsh, Douglas A is an individual health care provider with primary practice located at 919 53Rd Ave E , Bradenton FL 34203-4801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Walsh, Douglas A can be contacted via phone (941) 751-8100.

Contact Information

Primary practice address
919 53Rd Ave E Bradenton FL 34203-4801
Fax: (941) 751-8127
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS6707 Florida

Profile Details

NPI number 1356347520
LBN Legal business name Walsh, Douglas A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 24th, 2017 - about 9 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 1356347520 NPPES
Florida MEDICAID 267850100

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