Montgomery, Mary Jean
Montgomery, Mary Jean is an sole proprietor health care provider with primary practice located at 732 Beckman Street , Dayton OH 45410-2165. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Montgomery, Mary Jean can be contacted via phone (937) 301-5678.Contact Information
Primary practice address
732 Beckman Street
Dayton OH 45410-2165
Phone: (937) 301-5678
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 111042 | Ohio |
Profile Details
| NPI number | 1285126052 |
|---|---|
| LBN Legal business name | Montgomery, Mary Jean |
| Credentials | LCDCII, A.A.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2018 |
| Last updated | Jun 6th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285126052 | NPPES |
| Ohio | Other | 106S00000X | AETNA |
| Ohio | Other | 600540025 | AETNA |
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