Montgomery, Jeffrey Michael

Montgomery, Jeffrey Michael is an individual health care provider with primary practice located at 407 N State St , Clarks Summit PA 18411-1061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Montgomery, Jeffrey Michael can be contacted via phone (570) 586-1134.

Contact Information

Primary practice address
407 N State St Clarks Summit PA 18411-1061
Phone: (570) 586-1134
Fax: (570) 586-1136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS014541 Pennsylvania

Profile Details

NPI number 1902007990
LBN Legal business name Montgomery, Jeffrey Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Aug 1st, 2021 - 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 1902007990 NPPES
Pennsylvania MEDICAID 102210583

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