Reilly, Tracey

Reilly, Tracey is an individual health care provider with primary practice located at 46 Fairview Ave , Skowhegan ME 04976-1481. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Reilly, Tracey can be contacted via phone (207) 474-5121.

Contact Information

Primary practice address
46 Fairview Ave Skowhegan ME 04976-1481
Fax: (207) 474-3441
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101238130 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 235296 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD20760 Maine

Profile Details

NPI number 1639196264
LBN Legal business name Reilly, Tracey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 22nd, 2017 - about 8 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 1639196264 NPPES
Maine MEDICAID 1639196264
Maine MEDICAID 02676364

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