Montgomery, Heather Jean

Montgomery, Heather Jean is an individual health care provider with primary practice located at 125 Stoakley Road Suite 300, Prince Frederick MD 20678. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Montgomery, Heather Jean can be contacted via phone (410) 535-4561.

Contact Information

Primary practice address
125 Stoakley Road Suite 300 Prince Frederick MD 20678
Phone: (410) 535-4561
Fax: (410) 535-9941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R137571 Maryland
Allopathic & Osteopathic Physicians / Dermatology 207N00000X R137571 Maryland

Profile Details

NPI number 1427059559
LBN Legal business name Montgomery, Heather Jean
Credentials C.R.N.P
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated May 12th, 2026 - about 5 months 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 1427059559 NPPES
Maryland Other 120363 JHHC PROVIDER NUMBER
Maryland Other 61760401 JHHC PROVIDER NUMBER
Maryland MEDICAID 400427200 JHHC PROVIDER NUMBER
Maryland Other R137571 JHHC PROVIDER NUMBER
Maryland Other 7605-0058 JHHC PROVIDER NUMBER

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