Montgomery, Jean C
Montgomery, Jean C is an individual health care provider with primary practice located at 5409 Vern Holmes Dr , Stevens Point WI 54482-8853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Montgomery, Jean C can be contacted via phone (715) 344-1600.Contact Information
Primary practice address
5409 Vern Holmes Dr
Stevens Point WI 54482-8853
Phone: (715) 344-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 41169 | Wisconsin |
Profile Details
| NPI number | 1811073828 |
|---|---|
| LBN Legal business name | Montgomery, Jean C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1811073828 | NPPES |
| Wisconsin | MEDICAID | 32606800 |
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