Montgomery, Justin Royse

Montgomery, Justin Royse is an sole proprietor health care provider with primary practice located at 800 Rose St Hx304, Lexington KY 40536-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Montgomery, Justin Royse can be contacted via phone (859) 323-5069.

Contact Information

Primary practice address
800 Rose St Hx304 Lexington KY 40536-0001
Phone: (859) 323-5069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R1490 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 44342 Kentucky
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 44342 Kentucky

Profile Details

NPI number 1225293376
LBN Legal business name Montgomery, Justin Royse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2008
Last updated Dec 19th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225293376 NPPES
Kentucky MEDICAID 7100218400

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