Montgomery, Joseph Paul

Montgomery, Joseph Paul is an individual health care provider with primary practice located at 44725 Grand River Ave Ste 104 , Novi MI 48375-1024. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Montgomery, Joseph Paul can be contacted via phone (517) 882-3732.

Contact Information

Primary practice address
44725 Grand River Ave Ste 104 Novi MI 48375-1024
Phone: (517) 882-3732
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401011520 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704318966 Michigan

Profile Details

NPI number 1104155126
LBN Legal business name Montgomery, Joseph Paul
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2009
Last updated May 17th, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104155126 NPPES
Michigan Other 75091042 BLUE CROSS

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