Individual
JACK WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 CLARK STREET, UNIT A, FAIRPLAY, CO 80440
(719) 836-4154
Mailing address
825 CLARK STREET, UNIT A, FAIRPLAY, CO 80440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1646960
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1646960
NURSING LICENSE
CO
Enumeration date
08/15/2019
Last updated
08/15/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us