Montgomery, Rebecca Lynne

Montgomery, Rebecca Lynne is an sole proprietor health care provider with primary practice located at 1722 E Marks St , Orlando FL 32803-4242. She recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as her primary health care specialty. Montgomery, Rebecca Lynne can be contacted via phone (620) 340-5258.

Contact Information

Primary practice address
1722 E Marks St Orlando FL 32803-4242
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X PT32273 Florida

Profile Details

NPI number 1083153027
LBN Legal business name Montgomery, Rebecca Lynne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2017
Last updated Mar 6th, 2017 - about 7 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 1083153027 NPPES
Florida MEDICAID 880020100

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