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Contact Information

JAMES N RILEY SR, DO
86 DAVIS RD
BANGOR, ME04401-2311
 Phone: 207-992-2205
 Fax: 207-992-2207
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAMES N RILEY SR · (Male)

NPI Number 1306998281
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/18/2007
Last updated 12/17/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • ME License # 1170
  • ME License # 1170 DO
  • ME Medicaid 123700099
Hospital affiliation(s)
  • ST JOSEPH HOSPITAL - (Acute Care)
    360 BROADWAY
    BANGOR, ME 04401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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