Reilly, Christian Charles
Reilly, Christian Charles is an individual health care provider with primary practice located at 10 Commerce St Suite B, Glastonbury CT 06033-2313. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Reilly, Christian Charles can be contacted via phone (860) 430-9116.Contact Information
Primary practice address
10 Commerce St Suite B
Glastonbury CT 06033-2313
Phone: (860) 430-9116
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 001479 | Connecticut |
Profile Details
| NPI number | 1174657357 |
|---|---|
| LBN Legal business name | Reilly, Christian Charles |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| 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 | 1174657357 | NPPES |
| Other | 050001479CT02 | BCBS |
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