Michelle Walsh

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

600604865 Issued in NC

Legal business name

MICHELLE WALSH

Practice address

1415 29TH Avenue Dr NE
Hickory, NC 28601-7323

Phone

(828) 855-3445

Fax

(828) 855-2840

NPI assigned

Dec 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Bolick Walsh

Title

Owner

Phone

(828) 381-1221

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1801964002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 29TH AVENUE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286017323",
            "telephone_number": "828-855-3445",
            "fax_number": "828-855-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 29TH AVENUE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286017323",
            "telephone_number": "828-855-3445",
            "fax_number": "828-855-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE WALSH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "BOLICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-381-1221"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "600604865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704649",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joseph Edward Miles Jr., D.C.

• Customized Equipment (DME) in Hickory, NC
• Providers in Hickory, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.