Montgomery, Edwin
Montgomery, Edwin is an individual health care provider with primary practice located at N143W6515 Pioneer Rd , Cedarburg WI 53012-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Montgomery, Edwin can be contacted via phone (262) 377-6933.Contact Information
Primary practice address
N143W6515 Pioneer Rd
Cedarburg WI 53012-2705
Phone: (262) 377-6933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 14382 | Wisconsin |
Profile Details
| NPI number | 1740388099 |
|---|---|
| LBN Legal business name | Montgomery, Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1740388099 | NPPES |
| Wisconsin | MEDICAID | 30964600 |
Popular Providers
-
Marlow, Amy L
2002 Brookside Dr Ste 200 , Kingsport TN 37660-4634 -
Da Costa Gomez, Carol Ana
15671 Sw 88Th St , Miami FL 33196-1103 -
Frazier, Erin Richey
230 E Broadway , Louisville KY 40202-2026 -
Miller, Boyd
7861 State Road 60 , Cedarburg WI 53012-9305 -
Hagen, Elizabeth
N143W6515 Pioneer Rd , Cedarburg WI 53012-2705 -
Jewell-Mahler, Victoria
1600 Coraopolis Heights Rd Ste E, Moon Twp PA 15108-4316 -
Shook, Josh
2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569 -
Estill, Carol J
7861 State Road 60 , Cedarburg WI 53012-9305