Reilly, Sean M

Reilly, Sean M is an individual health care provider with primary practice located at 75-170 Hualalai Rd Ste C-110, Kailua Kona HI 96740-1741. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Reilly, Sean M can be contacted via phone (808) 329-9211.

Contact Information

Primary practice address
75-170 Hualalai Rd Ste C-110 Kailua Kona HI 96740-1741
Phone: (808) 329-9211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X AMD183 Hawaii

Profile Details

NPI number 1497785596
LBN Legal business name Reilly, Sean M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497785596 NPPES
Hawaii Other AMD183 STATE LICENSE

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