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
Phone: (864) 729-9851
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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