Reilly, Dana
Reilly, Dana is an sole proprietor health care provider with primary practice located at 9620 Giddings Ave Ne , Albuquerque NM 87109-6413. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Reilly, Dana can be contacted via phone (505) 856-0284.Contact Information
Primary practice address
9620 Giddings Ave Ne
Albuquerque NM 87109-6413
Phone: (505) 856-0284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1818 | New Mexico |
Profile Details
| NPI number | 1033249305 |
|---|---|
| LBN Legal business name | Reilly, Dana |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jun 30th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033249305 | NPPES |
| New Mexico | MEDICAID | D0226 | |
| New Mexico | MEDICAID | R 6209 |
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