Reilly, Robert William
Reilly, Robert William is an sole proprietor health care provider with primary practice located at 344 Prospect Street , East Orange NJ 07017. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Reilly, Robert William can be contacted via phone (973) 266-7300.Contact Information
Primary practice address
344 Prospect Street
East Orange NJ 07017
Phone: (973) 266-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 25MT00114500 | New Jersey |
Profile Details
| NPI number | 1487002192 |
|---|---|
| LBN Legal business name | Reilly, Robert William |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2016 |
| Last updated | Jun 3rd, 2016 - about 10 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 | 1487002192 | NPPES |
| New Jersey | Other | 25MT00114500 | BOARD OF MEDICAL EXAMINERS |
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