Reilly, Michael J

Reilly, Michael J is an individual health care provider with primary practice located at 20333 W 151St St , Olathe KS 66061-5350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Reilly, Michael J can be contacted via phone (913) 791-4357.

Contact Information

Primary practice address
20333 W 151St St Olathe KS 66061-5350
Phone: (913) 791-4357
Fax: (913) 791-4435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0423611 Kansas

Profile Details

NPI number 1053310904
LBN Legal business name Reilly, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Aug 8th, 2011 - 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 1053310904 NPPES
Missouri MEDICAID 203029111
Missouri Other 17552018
Missouri MEDICAID 100276860A

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