Reilly, Blaine Colin
Reilly, Blaine Colin is an sole proprietor health care provider with primary practice located at 2971 E Copper Point Dr Ste 100 , Meridian ID 83642-9276. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Reilly, Blaine Colin can be contacted via phone (208) 376-5683.Contact Information
Primary practice address
2971 E Copper Point Dr Ste 100
Meridian ID 83642-9276
Phone: (208) 376-5683
Fax: (208) 376-5690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4470 | Idaho |
Profile Details
| NPI number | 1275712481 |
|---|---|
| LBN Legal business name | Reilly, Blaine Colin |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2007 |
| Last updated | Feb 16th, 2024 - about 9 months 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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