Montgomery, Jeffrey James

Montgomery, Jeffrey James is an individual health care provider with primary practice located at 1055 N 500 W Ste 121, Provo UT 84604-3305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Montgomery, Jeffrey James can be contacted via phone (801) 373-7350.

Contact Information

Primary practice address
1055 N 500 W Ste 121 Provo UT 84604-3305
Phone: (801) 373-7350
Fax: (801) 812-5401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8401684-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19180 California

Profile Details

NPI number 1447450556
LBN Legal business name Montgomery, Jeffrey James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Nov 27th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1447450556 NPPES
Utah Other 8401684-1206 UT STATE LICENSE
Utah Other PA19180 UT STATE LICENSE

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