Montgomery, Leanne Simpson

Montgomery, Leanne Simpson is an individual health care provider with primary practice located at 804 N Parkway , Jackson TN 38305-3058. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Montgomery, Leanne Simpson can be contacted via phone (731) 423-3020.

Contact Information

Primary practice address
804 N Parkway Jackson TN 38305-3058
Fax:
Website:

Health care specialties

Profile Details

NPI number 1902041320
LBN Legal business name Montgomery, Leanne Simpson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2008
Last updated Dec 15th, 2008 - about 16 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 1902041320 NPPES
Tennessee Other 1871676593 PRACTICE NPI NUMBER
Tennessee Other 626000729 PRACTICE NPI NUMBER
Tennessee MEDICAID 4448133 PRACTICE NPI NUMBER

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