Montgomery, Charissa

Montgomery, Charissa is an individual health care provider with primary practice located at 333 Cottman Ave , Philadelphia PA 19111-2434. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Montgomery, Charissa can be contacted via phone (215) 728-6900.

Contact Information

Primary practice address
333 Cottman Ave Philadelphia PA 19111-2434
Phone: (215) 728-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X RN600680 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP018178 Pennsylvania

Profile Details

NPI number 1326558503
LBN Legal business name Montgomery, Charissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2017
Last updated Feb 19th, 2018 - about 6 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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