Reiley, Mark A
Reiley, Mark A is an individual health care provider with primary practice located at 3010 Colby St 118, Berkeley CA 94705-2059. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Reiley, Mark A can be contacted via phone (510) 845-3856.Contact Information
Primary practice address
3010 Colby St 118
Berkeley CA 94705-2059
Phone: (510) 845-3856
Fax: (510) 845-1936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G43696 | California |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | G43696 | California |
Profile Details
| NPI number | 1578595468 |
|---|---|
| LBN Legal business name | Reiley, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1578595468 | NPPES |
| California | MEDICAID | 00G436960 | |
| California | Other | 00G436960 | |
| California | Other | G43696 | |
| California | Other | G43696 |
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