Reilly, Thomas Michael

Reilly, Thomas Michael is an individual health care provider with primary practice located at 4929 Van Nuys Blvd , Sherman Oaks CA 91403-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Reilly, Thomas Michael can be contacted via phone (818) 907-4570.

Contact Information

Primary practice address
4929 Van Nuys Blvd Sherman Oaks CA 91403-1702
Phone: (818) 907-4570
Fax: (818) 907-2814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A48776 California

Profile Details

NPI number 1265475115
LBN Legal business name Reilly, Thomas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265475115 NPPES
California MEDICAID 00A487760

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