Reilly, Sharon Ann

Reilly, Sharon Ann is an sole proprietor health care provider with primary practice located at 910 North Goodman Street Suite 1, Rochester NY 14609. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Reilly, Sharon Ann can be contacted via phone (585) 738-2507.

Contact Information

Primary practice address
910 North Goodman Street Suite 1 Rochester NY 14609
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X L-161927 Virginia
Nursing Service Providers / Lactation Consultant 163WL0100X 318900-1 New York

Profile Details

NPI number 1043836869
LBN Legal business name Reilly, Sharon Ann
Credentials RN, BSN, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2020
Last updated Jul 18th, 2022 - about 2 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 1043836869 NPPES
New York MEDICAID 02773453

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