Montgomery, Michael Andrew
Montgomery, Michael Andrew is an sole proprietor health care provider with primary practice located at 7877 S Highway 89 # 91 , Wellsville UT 84339-9416. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Montgomery, Michael Andrew can be contacted via phone (385) 388-7930.Contact Information
Primary practice address
7877 S Highway 89 # 91
Wellsville UT 84339-9416
Phone: (385) 388-7930
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7334775-3501 | Utah |
Profile Details
| NPI number | 1003005166 |
|---|---|
| LBN Legal business name | Montgomery, Michael Andrew |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2007 |
| Last updated | Apr 27th, 2022 - about 3 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 | 1003005166 | NPPES |
| Utah | MEDICAID | 876000308007 | |
| Utah | Other | 260022408 |
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