Montgomery, Ronald Dale
Montgomery, Ronald Dale is an sole proprietor health care provider with primary practice located at 6846 Cooley Lake Road , Waterford MI 48327-4109. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Montgomery, Ronald Dale can be contacted via phone (248) 363-1543.Contact Information
Primary practice address
6846 Cooley Lake Road
Waterford MI 48327-4109
Phone: (248) 363-1543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301005148 | Michigan |
Profile Details
| NPI number | 1477665115 |
|---|---|
| LBN Legal business name | Montgomery, Ronald Dale |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 15th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477665115 | NPPES |
| Michigan | MEDICAID | 1754078 | |
| Michigan | Other | 950F35099 |
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