Montgomery, Derrick Alan

Montgomery, Derrick Alan is an individual health care provider with primary practice located at 316Th Mdg 1060 W. Perimeter Rd Suite 3K43, Andrews Afb MD 20762. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Montgomery, Derrick Alan can be contacted via phone (240) 612-1730.

Contact Information

Primary practice address
316Th Mdg 1060 W. Perimeter Rd Suite 3K43 Andrews Afb MD 20762
Phone: (240) 612-1730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A96117 California
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 35.125039 Ohio

Profile Details

NPI number 1225133499
LBN Legal business name Montgomery, Derrick Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jun 6th, 2022 - about 2 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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