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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235112244 NPPES
Indiana MEDICAID 100335740

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