Montgomery, Jason

Montgomery, Jason is an individual health care provider with primary practice located at 3750 N Briarwood Ln , Muncie IN 47304. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Montgomery, Jason can be contacted via phone (765) 213-6373.

Contact Information

Primary practice address
3750 N Briarwood Ln Muncie IN 47304
Phone: (765) 213-6373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000879A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3167 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1104835594
LBN Legal business name Montgomery, Jason
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 20th, 2021 - about 5 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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