Walsh, Gregory C

Walsh, Gregory C is an individual health care provider with primary practice located at 20 Isham Rd Suite 150, West Hartford CT 06107-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Walsh, Gregory C can be contacted via phone (860) 527-1669.

Contact Information

Primary practice address
20 Isham Rd Suite 150 West Hartford CT 06107-2204
Phone: (860) 527-1669
Fax: (860) 293-0783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 021042 Connecticut

Profile Details

NPI number 1063496883
LBN Legal business name Walsh, Gregory C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated May 24th, 2011 - about 15 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 1063496883 NPPES
Connecticut MEDICAID 1210426
Connecticut Other 010021042CT01

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