Montgomery, Emmett Fulcher
Montgomery, Emmett Fulcher is an individual health care provider with primary practice located at 104 Knox Ct Ste 100 , Davidson NC 28036-0590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Montgomery, Emmett Fulcher can be contacted via phone (704) 892-5454.Contact Information
Primary practice address
104 Knox Ct Ste 100
Davidson NC 28036-0590
Phone: (704) 892-5454
Fax: (704) 892-5858
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35242 | North Carolina |
Profile Details
NPI number | 1356337646 |
---|---|
LBN Legal business name | Montgomery, Emmett Fulcher |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2005 |
Last updated | Dec 20th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356337646 | NPPES |
North Carolina | MEDICAID | 8960083 |
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