Montgomery, Russell Adam
Montgomery, Russell Adam is an individual health care provider with primary practice located at 1276 W River St Ste 100 , Boise ID 83702-7083. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Montgomery, Russell Adam can be contacted via phone (208) 866-7981.Contact Information
Primary practice address
1276 W River St Ste 100
Boise ID 83702-7083
Phone: (208) 866-7981
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1861269383 |
|---|---|
| LBN Legal business name | Montgomery, Russell Adam |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2023 |
| Last updated | Dec 5th, 2023 - about last year |
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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