Montague, Elisabeth
Montague, Elisabeth is an sole proprietor health care provider with primary practice located at 218 Old Mocksville Rd Anesthesia Dept, Statesville NC 28625-1930. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Montague, Elisabeth can be contacted via phone (704) 873-0281.Contact Information
Primary practice address
218 Old Mocksville Rd Anesthesia Dept
Statesville NC 28625-1930
Phone: (704) 873-0281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34107 | North Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 34107 | North Carolina |
Profile Details
| NPI number | 1811967011 |
|---|---|
| LBN Legal business name | Montague, Elisabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Aug 30th, 2022 - about 3 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 | 1811967011 | NPPES |
| North Carolina | MEDICAID | 8960069 |
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