Montgomery, Travis H
Montgomery, Travis H is an sole proprietor health care provider with primary practice located at 222 Medical Cir , Morehead KY 40351-1179. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Montgomery, Travis H can be contacted via phone (606) 783-6520.Contact Information
Primary practice address
222 Medical Cir
Morehead KY 40351-1179
Phone: (606) 783-6520
Fax: (606) 783-6489
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1714 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA1714 | Kentucky |
Profile Details
NPI number | 1316210040 |
---|---|
LBN Legal business name | Montgomery, Travis H |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 10th, 2012 |
Last updated | Mar 5th, 2019 - about 6 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 | 1316210040 | NPPES |
Kentucky | MEDICAID | 7100216070 |
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