Montgomery, Travis J
Montgomery, Travis J is an individual health care provider with primary practice located at 3731 Guion Road Suite C, Indianapolis IN 46222-7604. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Montgomery, Travis J can be contacted via phone (317) 931-0664.Contact Information
Primary practice address
3731 Guion Road Suite C
Indianapolis IN 46222-7604
Phone: (317) 931-0664
Fax: (317) 927-0924
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 07001006A | Indiana |
Profile Details
NPI number | 1154323731 |
---|---|
LBN Legal business name | Montgomery, Travis J |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2005 |
Last updated | Apr 16th, 2013 - about 12 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 | 1154323731 | NPPES |
Indiana | MEDICAID | 200525150 |
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