Montgomery, Gregory S
Montgomery, Gregory S is an individual health care provider with primary practice located at 705 Riley Hospital Dr Roc 4270, Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Montgomery, Gregory S can be contacted via phone (317) 274-7208.Contact Information
Primary practice address
705 Riley Hospital Dr Roc 4270
Indianapolis IN 46202-5109
Phone: (317) 274-7208
Fax: (317) 274-3442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 01060650 | Indiana |
Profile Details
| NPI number | 1902915960 |
|---|---|
| LBN Legal business name | Montgomery, Gregory S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 17th, 2020 - about 4 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 | 1902915960 | NPPES |
| Indiana | MEDICAID | 200515500 | |
| Indiana | MEDICAID | 7100037240 |
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