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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1346218815 | NPPES |
| Virginia | Other | 4975120 | SENTARA |
| Virginia | MEDICAID | 49-7512-0 | SENTARA |
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