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
Phone: (207) 474-5121
Fax: (207) 474-3441
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639196264 | NPPES |
| Maine | MEDICAID | 1639196264 | |
| Maine | MEDICAID | 02676364 |
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