Montgomery, Georgia N
Montgomery, Georgia N is an sole proprietor health care provider with primary practice located at 1020 San Pedro Dr Ne , Albuquerque NM 87110-6722. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Montgomery, Georgia N can be contacted via phone (505) 256-9587.Contact Information
Primary practice address
1020 San Pedro Dr Ne
Albuquerque NM 87110-6722
Phone: (505) 256-9587
Fax: (505) 266-2484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1740215151 |
|---|---|
| LBN Legal business name | Montgomery, Georgia N |
| Credentials | OWNER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740215151 | NPPES |
| New Mexico | MEDICAID | 75077311 |
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