Montgomery, Tamara Marie

Montgomery, Tamara Marie is an sole proprietor health care provider with primary practice located at 320 E. Eighth St. Suite 141, Marietta OH 45750-1656. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Montgomery, Tamara Marie can be contacted via phone (740) 374-5580.

Contact Information

Primary practice address
320 E. Eighth St. Suite 141 Marietta OH 45750-1656
Phone: (740) 374-5580
Fax: (740) 374-6266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-00-7567 Ohio

Profile Details

NPI number 1114995602
LBN Legal business name Montgomery, Tamara Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Mar 29th, 2021 - about 4 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 1114995602 NPPES
West Virginia MEDICAID 2002638000
West Virginia MEDICAID 2229243

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