Montgomery, Matthew Thomas

Montgomery, Matthew Thomas is an individual health care provider with primary practice located at 600 Peter Jefferson Pkwy Ste 290, Charlottesville VA 22911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Montgomery, Matthew Thomas can be contacted via phone (434) 977-4488.

Contact Information

Primary practice address
600 Peter Jefferson Pkwy Ste 290 Charlottesville VA 22911
Phone: (434) 977-4488
Fax: (434) 977-6103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101045889 Virginia

Profile Details

NPI number 1457300956
LBN Legal business name Montgomery, Matthew Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 10th, 2011 - about 14 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 1457300956 NPPES
Virginia MEDICAID 6204538

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