Walsh, Mark J

Walsh, Mark J is an individual health care provider with primary practice located at 75 Sylvania Dr , Dayton OH 45440-3237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Walsh, Mark J can be contacted via phone (937) 320-5050.

Contact Information

Primary practice address
75 Sylvania Dr Dayton OH 45440-3237
Fax: (937) 320-5060
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35051048 Ohio

Profile Details

NPI number 1346215613
LBN Legal business name Walsh, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Oct 2nd, 2013 - about 13 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 1346215613 NPPES
Ohio Other 0710781 MEDICARE PTAN
Ohio MEDICAID 0856248 MEDICARE PTAN

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