Montgomery, Jessica Maggie

Montgomery, Jessica Maggie is an individual health care provider with primary practice located at 2844 Coloma St , Placerville CA 95667-4406. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Montgomery, Jessica Maggie can be contacted via phone (530) 642-9240.

Contact Information

Primary practice address
2844 Coloma St Placerville CA 95667-4406
Phone: (530) 642-9240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1609132182
LBN Legal business name Montgomery, Jessica Maggie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2012
Last updated Apr 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609132182 NPPES
California Other D8239239 EDUCATOR

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