Reilly, Nicole Marie
Reilly, Nicole Marie is an sole proprietor health care provider with primary practice located at 19712 Macarthur Blvd Ste 110 , Irvine CA 92612-2407. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Reilly, Nicole Marie can be contacted via phone (949) 264-3325.Contact Information
Primary practice address
19712 Macarthur Blvd Ste 110
Irvine CA 92612-2407
Phone: (949) 264-3325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A98851 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 127642 | California |
Profile Details
| NPI number | 1912170598 |
|---|---|
| LBN Legal business name | Reilly, Nicole Marie |
| Credentials | MD, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2008 |
| Last updated | Dec 18th, 2023 - about 3 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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