Reilly, Shane Thomas

Reilly, Shane Thomas is an individual health care provider with primary practice located at 55 Fogg Rd , South Weymouth MA 02190-2455. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Reilly, Shane Thomas can be contacted via phone (781) 624-8000.

Contact Information

Primary practice address
55 Fogg Rd South Weymouth MA 02190-2455
Phone: (781) 624-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1972010429
LBN Legal business name Reilly, Shane Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2018
Last updated May 22nd, 2023 - about 3 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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