Montgomery, Roger C

Montgomery, Roger C is an individual health care provider with primary practice located at 325 E. Longview St. , Fayetteville AR 72703. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Montgomery, Roger C can be contacted via phone (479) 713-7385.

Contact Information

Primary practice address
325 E. Longview St. Fayetteville AR 72703
Phone: (479) 713-7385
Fax: (479) 444-7120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17227 Oklahoma
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N-8043 Arkansas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X N-8043 Arkansas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X N-8043 Arkansas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X N-8043 Arkansas

Profile Details

NPI number 1902834898
LBN Legal business name Montgomery, Roger C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 21st, 2022 - about 2 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 1902834898 NPPES
Arkansas MEDICAID 117900001
Arkansas Other 54200

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