Montgomery, Robert

Montgomery, Robert is an individual health care provider with primary practice located at 2861 Madison Ave , Granite City IL 62040-3614. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Montgomery, Robert can be contacted via phone (618) 709-7723.

Contact Information

Primary practice address
2861 Madison Ave Granite City IL 62040-3614
Phone: (618) 709-7723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2017010802 Missouri

Profile Details

NPI number 1447787544
LBN Legal business name Montgomery, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2017
Last updated Oct 17th, 2018 - about 6 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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