Montgomery, Stephen
Montgomery, Stephen is an individual health care provider with primary practice located at 345 Highway 15 N , Pontotoc MS 38863-1105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Montgomery, Stephen can be contacted via phone (662) 489-7430.Contact Information
Primary practice address
345 Highway 15 N
Pontotoc MS 38863-1105
Phone: (662) 489-7430
Fax: (662) 489-7938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10719 | Mississippi |
Profile Details
| NPI number | 1699735159 |
|---|---|
| LBN Legal business name | Montgomery, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Feb 21st, 2011 - 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 | 1699735159 | NPPES |
| Mississippi | MEDICAID | 00114314 |
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