Montague, Elisabeth

Montague, Elisabeth is an sole proprietor health care provider with primary practice located at 218 Old Mocksville Rd Anesthesia Dept, Statesville NC 28625-1930. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Montague, Elisabeth can be contacted via phone (704) 873-0281.

Contact Information

Primary practice address
218 Old Mocksville Rd Anesthesia Dept Statesville NC 28625-1930
Phone: (704) 873-0281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 34107 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 34107 North Carolina

Profile Details

NPI number 1811967011
LBN Legal business name Montague, Elisabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Aug 30th, 2022 - about 4 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 1811967011 NPPES
North Carolina MEDICAID 8960069

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