Montgomery, Jo Anne
Montgomery, Jo Anne is an individual health care provider with primary practice located at 2101 E Yesler Way Odessa Brown Children'S Clinic, Seattle WA 98122-5959. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Montgomery, Jo Anne can be contacted via phone (206) 987-7219.Contact Information
Primary practice address
2101 E Yesler Way Odessa Brown Children'S Clinic
Seattle WA 98122-5959
Phone: (206) 987-7219
Fax: (206) 329-9764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP30002201 | Washington |
Profile Details
| NPI number | 1487773123 |
|---|---|
| LBN Legal business name | Montgomery, Jo Anne |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1487773123 | NPPES |
| Washington | Other | 9605221 | WA STATE MEDICAID # |
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