Reilly, Brent M

Reilly, Brent M is an individual health care provider with primary practice located at 2800 Main St St.Vincents Multispecialty Group, Bridgeport CT 06606-4201. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Reilly, Brent M can be contacted via phone (203) 576-6000.

Contact Information

Primary practice address
2800 Main St St.Vincents Multispecialty Group Bridgeport CT 06606-4201
Phone: (203) 576-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001824 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 001824 Connecticut

Profile Details

NPI number 1063586147
LBN Legal business name Reilly, Brent M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Sep 29th, 2014 - 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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