Montgomery, Stephen W
Montgomery, Stephen W is an individual health care provider with primary practice located at 101 N Missouri Avenue , Roswell NM 88203-4657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Montgomery, Stephen W can be contacted via phone (505) 623-8420.Contact Information
Primary practice address
101 N Missouri Avenue
Roswell NM 88203-4657
Phone: (505) 623-8420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 79230 | New Mexico |
Profile Details
| NPI number | 1760519227 |
|---|---|
| LBN Legal business name | Montgomery, Stephen W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1760519227 | NPPES |
| New Mexico | MEDICAID | 11189 | |
| New Mexico | Other | 00NM001943 |
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