Montgomery, Jerry Dwayne

Montgomery, Jerry Dwayne is an individual health care provider with primary practice located at 639 W Chestnut Expy , Springfield MO 65802-3935. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Montgomery, Jerry Dwayne can be contacted via phone (417) 523-7500.

Contact Information

Primary practice address
639 W Chestnut Expy Springfield MO 65802-3935
Phone: (417) 523-7500
Fax: (417) 523-7695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1790021632
LBN Legal business name Montgomery, Jerry Dwayne
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2012
Last updated Dec 21st, 2012 - about 14 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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