Montague, Michael T

Montague, Michael T is an individual health care provider with primary practice located at 1334 N Lansing Ave , Tulsa OK 74106-5907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Montague, Michael T can be contacted via phone (918) 587-2171.

Contact Information

Primary practice address
1334 N Lansing Ave Tulsa OK 74106-5907
Phone: (918) 587-2171
Fax: (918) 295-6155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1208 Oklahoma

Profile Details

NPI number 1316948656
LBN Legal business name Montague, Michael T
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jun 19th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316948656 NPPES
Oklahoma Other 37-1803 MEDICARE
Oklahoma MEDICAID 100768880F MEDICARE
Oklahoma MEDICAID 100768880I MEDICARE
Oklahoma MEDICAID 100768880J MEDICARE
Oklahoma Other 37-1832 MEDICARE
Oklahoma Other 37-1834 MEDICARE
Oklahoma MEDICAID 100031840A MEDICARE

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