Reilly, Jennifer L

Reilly, Jennifer L is an sole proprietor health care provider with primary practice located at 257 Indiana Ave Ste B1 , Valparaiso IN 46383-5543. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Reilly, Jennifer L can be contacted via phone (219) 510-7260.

Contact Information

Primary practice address
257 Indiana Ave Ste B1 Valparaiso IN 46383-5543
Phone: (219) 510-7260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001660A Indiana

Profile Details

NPI number 1558348847
LBN Legal business name Reilly, Jennifer L
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Mar 13th, 2014 - about 10 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 1558348847 NPPES
Indiana Other 000000353217 ANTHEM
Indiana Other 39001660A ANTHEM

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