Reilly, Martin T

Reilly, Martin T is an individual health care provider with primary practice located at 401 E Oklahoma Ave Suite A, Enid OK 73701-5800. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Reilly, Martin T can be contacted via phone (580) 242-5700.

Contact Information

Primary practice address
401 E Oklahoma Ave Suite A Enid OK 73701-5800
Phone: (580) 242-5700
Fax: (580) 242-5712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4135 Oklahoma
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 4135 Oklahoma
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 4135 Oklahoma

Profile Details

NPI number 1780680520
LBN Legal business name Reilly, Martin T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated May 30th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780680520 NPPES
Oklahoma MEDICAID 200025140A

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