Montenegro, Marlon Jose
Montenegro, Marlon Jose is an sole proprietor health care provider with primary practice located at 2125 State St Ste 6 , New Albany IN 47150-4972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Montenegro, Marlon Jose can be contacted via phone (812) 948-7417.Contact Information
Primary practice address
2125 State St Ste 6
New Albany IN 47150-4972
Phone: (812) 948-7417
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20-391 | Wisconsin |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20-931 | Wisconsin |
Profile Details
| NPI number | 1588310734 |
|---|---|
| LBN Legal business name | Montenegro, Marlon Jose |
| Credentials | CSFA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2022 |
| Last updated | Feb 25th, 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.
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