Montgomery, Ida Sue

Montgomery, Ida Sue is an individual health care provider with primary practice located at 301 Andrews Avenue Lyster Army Outpatient Clinic, Fort Rucker AL 36362. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Montgomery, Ida Sue can be contacted via phone (334) 255-7387.

Contact Information

Primary practice address
301 Andrews Avenue Lyster Army Outpatient Clinic Fort Rucker AL 36362
Phone: (334) 255-7387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN-384 Hawaii

Profile Details

NPI number 1104809359
LBN Legal business name Montgomery, Ida Sue
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
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.

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