Montague, Blaine K
Montague, Blaine K is an individual health care provider with primary practice located at 819 E Marketplace Drive , Spanish Fork UT 84660-2060. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Montague, Blaine K can be contacted via phone (801) 717-0341.Contact Information
Primary practice address
819 E Marketplace Drive
Spanish Fork UT 84660-2060
Phone: (801) 717-0341
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9508541-1206 | Utah |
Profile Details
| NPI number | 1366811606 |
|---|---|
| LBN Legal business name | Montague, Blaine K |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2015 |
| Last updated | Nov 1st, 2021 - about 4 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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