Montgomery, Thomas W

Montgomery, Thomas W is an individual health care provider with primary practice located at 408 Clark St Ne , Cullman AL 35055-1953. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Montgomery, Thomas W can be contacted via phone (256) 734-3202.

Contact Information

Primary practice address
408 Clark St Ne Cullman AL 35055-1953
Phone: (256) 734-3202
Fax: (256) 734-4668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10441 Alabama

Profile Details

NPI number 1093796690
LBN Legal business name Montgomery, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Dec 22nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093796690 NPPES
Alabama MEDICAID 000026282
Alabama Other 51026282
Alabama Other E869
Alabama MEDICAID 1114238243

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