Montgomery, Beverly

Montgomery, Beverly is an sole proprietor health care provider with primary practice located at 16100 Van Aken Blvd Apt 405 , Shaker Heights OH 44120-5305. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Montgomery, Beverly can be contacted via phone (216) 233-2434.

Contact Information

Primary practice address
16100 Van Aken Blvd Apt 405 Shaker Heights OH 44120-5305
Phone: (216) 233-2434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1134836059
LBN Legal business name Montgomery, Beverly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2022
Last updated Oct 31st, 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 1134836059 NPPES
Ohio MEDICAID 78835066

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