Oreilly, Keith J

Oreilly, Keith J is an individual health care provider with primary practice located at 410 Malcolm Dr Suite A, Westminster MD 21157-6160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Oreilly, Keith J can be contacted via phone (410) 876-1633.

Contact Information

Primary practice address
410 Malcolm Dr Suite A Westminster MD 21157-6160
Fax: (410) 840-2100
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D0064335 Maryland

Profile Details

NPI number 1336113893
LBN Legal business name Oreilly, Keith J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Aug 29th, 2013 - about 11 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 1336113893 NPPES
Maryland MEDICAID 410898100
Maryland MEDICAID 786620000

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