Rielly, James

Rielly, James is an individual health care provider with primary practice located at 395 W Cougar Blvd Ste 503 , Provo UT 84604-3323. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Rielly, James can be contacted via phone (801) 374-9100.

Contact Information

Primary practice address
395 W Cougar Blvd Ste 503 Provo UT 84604-3323
Phone: (801) 374-9100
Fax: (801) 374-9117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 249582 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD469103 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 83219 South Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 11889299-1205 Utah

Profile Details

NPI number 1386638005
LBN Legal business name Rielly, James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Mar 14th, 2024 - about last year

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 1386638005 NPPES
South Carolina MEDICAID 832193

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