Montgomery, Brian

Montgomery, Brian is an individual health care provider with primary practice located at 5976 Omega St , Riverside CA 92506-4744. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Montgomery, Brian can be contacted via phone (951) 315-7630.

Contact Information

Primary practice address
5976 Omega St Riverside CA 92506-4744
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA52698 California

Profile Details

NPI number 1093191504
LBN Legal business name Montgomery, Brian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2015
Last updated Aug 6th, 2015 - about 11 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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