Reiley, Mark A

Reiley, Mark A is an individual health care provider with primary practice located at 3010 Colby St 118, Berkeley CA 94705-2059. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Reiley, Mark A can be contacted via phone (510) 845-3856.

Contact Information

Primary practice address
3010 Colby St 118 Berkeley CA 94705-2059
Phone: (510) 845-3856
Fax: (510) 845-1936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G43696 California
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X G43696 California

Profile Details

NPI number 1578595468
LBN Legal business name Reiley, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1578595468 NPPES
California MEDICAID 00G436960
California Other 00G436960
California Other G43696
California Other G43696

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