Reilly, Thomas Jude

Reilly, Thomas Jude is an individual health care provider with primary practice located at 640 E 22Nd St , Fremont NE 68025-2672. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Reilly, Thomas Jude can be contacted via phone (402) 721-3337.

Contact Information

Primary practice address
640 E 22Nd St Fremont NE 68025-2672
Phone: (402) 721-3337
Fax: (402) 721-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 82 Nebraska

Profile Details

NPI number 1427077965
LBN Legal business name Reilly, Thomas Jude
Credentials MA, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1427077965 NPPES
Iowa MEDICAID 0718080
Iowa MEDICAID 100252598-00

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