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:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1114995602 | NPPES |
| West Virginia | MEDICAID | 2002638000 | |
| West Virginia | MEDICAID | 2229243 |
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