Montgomery, Shyvon Reese

Montgomery, Shyvon Reese is an individual health care provider with primary practice located at 540 Sunnyside Dr , Flushing MI 48433-1474. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology is her primary health care specialty. Montgomery, Shyvon Reese can be contacted via phone (810) 659-5695.

Contact Information

Primary practice address
540 Sunnyside Dr Flushing MI 48433-1474
Phone: (810) 659-5695
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5201007149 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X

Profile Details

NPI number 1013486885
LBN Legal business name Montgomery, Shyvon Reese
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2018
Last updated Aug 13th, 2021 - about 3 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 1013486885 NPPES
Michigan MEDICAID 1114966983

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