Montgomery, Jacquetta Shanae

Montgomery, Jacquetta Shanae is an sole proprietor health care provider with primary practice located at 2320 E North St Ste Gg , Greenville SC 29607-1272. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Montgomery, Jacquetta Shanae can be contacted via phone (864) 729-9851.

Contact Information

Primary practice address
2320 E North St Ste Gg Greenville SC 29607-1272
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1811572738
LBN Legal business name Montgomery, Jacquetta Shanae
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2021
Last updated Mar 11th, 2021 - about 3 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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