David M Montgomery Md Inc

LBN: David M Montgomery Md Inc
David M Montgomery Md Inc is an health care organization with primary practice located at 403 Clarendon Ave Nw , Canton OH 44708-4505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. David M Montgomery Md Inc can be contacted via phone (330) 453-7117, or through Montgomery, David M via phone (330) 453-7117.

Contact Information

Primary practice address
403 Clarendon Ave Nw Canton OH 44708-4505
Phone: (330) 453-7117
Fax: (330) 453-5995
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, David M Doctor of Medicine (MD)
Phone: (330) 453-7117

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35029375 Ohio

Profile Details

NPI number 1508046038
LBN Legal business name David M Montgomery Md Inc
DBA Doing business as
Authorized official Montgomery, David M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Dec 3rd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508046038 NPPES
Ohio MEDICAID 0136221

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