Reilly, Thomas A
Reilly, Thomas A is an sole proprietor health care provider with primary practice located at 850 Margaret Pl , Shreveport LA 71101-4521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Reilly, Thomas A can be contacted via phone (318) 222-8187.Contact Information
Primary practice address
850 Margaret Pl
Shreveport LA 71101-4521
Phone: (318) 222-8187
Fax: (318) 424-2637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 05352R | Louisiana |
Profile Details
| NPI number | 1215092416 |
|---|---|
| LBN Legal business name | Reilly, Thomas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Apr 29th, 2008 - about 16 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 | 1215092416 | NPPES |
| Louisiana | MEDICAID | 1324329 |
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