Estill, Matthew Reilly

Estill, Matthew Reilly is an individual health care provider with primary practice located at 1780 Hanshaw Rd , Ithaca NY 14850-9105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Estill, Matthew Reilly can be contacted via phone (607) 257-5858.

Contact Information

Primary practice address
1780 Hanshaw Rd Ithaca NY 14850-9105
Phone: (607) 257-5858
Fax: (607) 257-1718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 202366-1 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD058404L Pennsylvania

Profile Details

NPI number 1487629622
LBN Legal business name Estill, Matthew Reilly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 9th, 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 1487629622 NPPES
Pennsylvania MEDICAID 0015707040001
Pennsylvania MEDICAID 01636502
Pennsylvania Other CC8362
Pennsylvania Other GU039812
Pennsylvania Other 110209191

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