Reilly, Kathryn Miller
Reilly, Kathryn Miller is an sole proprietor health care provider with primary practice located at 19855 Outer Dr 103B-W, Dearborn MI 48124-2022. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Reilly, Kathryn Miller can be contacted via phone (313) 359-1977.Contact Information
Primary practice address
19855 Outer Dr 103B-W
Dearborn MI 48124-2022
Phone: (313) 359-1977
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301008955 | Michigan |
Profile Details
| NPI number | 1881718864 |
|---|---|
| LBN Legal business name | Reilly, Kathryn Miller |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1881718864 | NPPES |
| Michigan | Other | 11283769 | CAQH ID |
| Michigan | Other | 38-3304817 | CAQH ID |
| Michigan | Other | 680H247650 | CAQH ID |
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