Provider Demographics
NPI:1902241060
Name:SHILOH MEDICAL CLINIC, PC
Entity Type:Organization
Organization Name:SHILOH MEDICAL CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:REIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-252-0022
Mailing Address - Street 1:1655 SHILOH RD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-1726
Mailing Address - Country:US
Mailing Address - Phone:406-252-0022
Mailing Address - Fax:406-245-1228
Practice Address - Street 1:1655 SHILOH RD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-1726
Practice Address - Country:US
Practice Address - Phone:406-252-0022
Practice Address - Fax:406-245-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8467207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty