Lindsay, Demetria Montgomery

Lindsay, Demetria Montgomery is an individual health care provider with primary practice located at 1701 High St Suite 102, Portsmouth VA 23704-3103. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lindsay, Demetria Montgomery can be contacted via phone (757) 393-8585.

Contact Information

Primary practice address
1701 High St Suite 102 Portsmouth VA 23704-3103
Phone: (757) 393-8585
Fax: (757) 393-4807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101232375 Virginia

Profile Details

NPI number 1346218815
LBN Legal business name Lindsay, Demetria Montgomery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1346218815 NPPES
Virginia Other 4975120 SENTARA
Virginia MEDICAID 49-7512-0 SENTARA

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