Reilly, Beth
Reilly, Beth is an sole proprietor health care provider with primary practice located at 195 Roosevelt St , Tonawanda NY 14150-3502. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Reilly, Beth can be contacted via phone (716) 693-4271.Contact Information
Primary practice address
195 Roosevelt St
Tonawanda NY 14150-3502
Phone: (716) 693-4271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 39207 | New York |
Profile Details
| NPI number | 1720161458 |
|---|---|
| LBN Legal business name | Reilly, Beth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720161458 | NPPES |
| New York | MEDICAID | 01240931 |
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