Montgomery, Thomas Joseph

Montgomery, Thomas Joseph is an sole proprietor health care provider with primary practice located at 1301 Camellia Blvd Suite 102, Lafayette LA 70508-7089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Montgomery, Thomas Joseph can be contacted via phone (337) 235-2264.

Contact Information

Primary practice address
1301 Camellia Blvd Suite 102 Lafayette LA 70508-7089
Phone: (337) 235-2264
Fax: (337) 232-4426
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 020154 Louisiana

Profile Details

NPI number 1457386773
LBN Legal business name Montgomery, Thomas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Dec 19th, 2016 - about 9 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 1457386773 NPPES
Louisiana MEDICAID 1449121

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