Reilly, Michael Jay
Reilly, Michael Jay is an individual health care provider with primary practice located at 14828 Greyhound Ct Ste 100 , Carmel IN 46032-5016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reilly, Michael Jay can be contacted via phone (317) 582-9200.Contact Information
Primary practice address
14828 Greyhound Ct Ste 100
Carmel IN 46032-5016
Phone: (317) 582-9200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01035570A | Indiana |
Profile Details
NPI number | 1235112244 |
---|---|
LBN Legal business name | Reilly, Michael Jay |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 23rd, 2005 |
Last updated | Oct 16th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235112244 | NPPES |
Indiana | MEDICAID | 100335740 |
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