Montgomery, Jo Anne

Montgomery, Jo Anne is an individual health care provider with primary practice located at 2608 Kwina Rd , Bellingham WA 98226-9291. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Montgomery, Jo Anne can be contacted via phone (360) 384-0464.

Contact Information

Primary practice address
2608 Kwina Rd Bellingham WA 98226-9291
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP30002201 Washington

Profile Details

NPI number 1487773123
LBN Legal business name Montgomery, Jo Anne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Oct 29th, 2024 - about 2 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 1487773123 NPPES
Washington Other 9605221 WA STATE MEDICAID #

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