Riley, Jillian Ross

Riley, Jillian Ross is an sole proprietor health care provider with primary practice located at 1011 Honor Heights Dr , Muskogee OK 74401-1318. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Riley, Jillian Ross can be contacted via phone (918) 577-4050.

Contact Information

Primary practice address
1011 Honor Heights Dr Muskogee OK 74401-1318
Phone: (918) 577-4050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36052 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4553 Oklahoma

Profile Details

NPI number 1619153574
LBN Legal business name Riley, Jillian Ross
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2008
Last updated Dec 10th, 2021 - about 5 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 1619153574 NPPES
Oklahoma MEDICAID 200129340A

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