Reyes, Marilou
Reyes, Marilou is an sole proprietor health care provider with primary practice located at 2585 Miracle Mile Suite 126, Bullhead City AZ 86442-7522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Reyes, Marilou can be contacted via phone (928) 763-7020.Contact Information
Primary practice address
2585 Miracle Mile Suite 126
Bullhead City AZ 86442-7522
Phone: (928) 763-7020
Fax: (928) 763-7050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28997 | Arizona |
Profile Details
| NPI number | 1972597441 |
|---|---|
| LBN Legal business name | Reyes, Marilou |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jan 6th, 2014 - about 10 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 | 1972597441 | NPPES |
| Arizona | MEDICAID | 787434 |
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