Montgomery, Andre Lamont

Montgomery, Andre Lamont is an individual health care provider with primary practice located at 684 Avon Belden Rd Suite B, Avon Lake OH 44012-4110. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Montgomery, Andre Lamont can be contacted via phone (440) 930-5537.

Contact Information

Primary practice address
684 Avon Belden Rd Suite B Avon Lake OH 44012-4110
Phone: (440) 930-5537
Fax: (440) 930-5237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 3302 Ohio
Chiropractic Providers / Chiropractor 111N00000X 3302 Ohio

Profile Details

NPI number 1457315202
LBN Legal business name Montgomery, Andre Lamont
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Dec 8th, 2020 - about 5 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 1457315202 NPPES
Ohio MEDICAID 2324167

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