O'Reilly, Wilhelmina Fouche

O'Reilly, Wilhelmina Fouche is an sole proprietor health care provider with primary practice located at 514F E Woodrow Wilson Ave , Jackson MS 39216-4538. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. O'Reilly, Wilhelmina Fouche can be contacted via phone (601) 982-3132.

Contact Information

Primary practice address
514F E Woodrow Wilson Ave Jackson MS 39216-4538
Phone: (601) 982-3132
Fax: (601) 982-3136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X PEDO-075-83 Mississippi

Profile Details

NPI number 1609974757
LBN Legal business name O'Reilly, Wilhelmina Fouche
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1609974757 NPPES
Mississippi MEDICAID 00060004

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