Reidy, James Michael

Reidy, James Michael is an individual health care provider with primary practice located at 2680 S Val Vista Dr Bldg 13, Unit 175, Gilbert AZ 85295-2152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Reidy, James Michael can be contacted via phone (480) 784-0110.

Contact Information

Primary practice address
2680 S Val Vista Dr Bldg 13, Unit 175 Gilbert AZ 85295-2152
Phone: (480) 784-0110
Fax: (480) 784-0220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 4012 Arizona

Profile Details

NPI number 1174551014
LBN Legal business name Reidy, James Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Aug 28th, 2012 - about 14 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 1174551014 NPPES
Arizona Other AZ0762840 BLUE CROSS OF AZ
Arizona MEDICAID 876617 BLUE CROSS OF AZ

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