Montgomery, Richard

Montgomery, Richard is an sole proprietor health care provider with primary practice located at 2020 Court St Ste110, Redding CA 96001-1822. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Montgomery, Richard can be contacted via phone (530) 243-1236.

Contact Information

Primary practice address
2020 Court St Ste110 Redding CA 96001-1822
Phone: (530) 243-1236
Fax: (530) 243-8161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN289585 California

Profile Details

NPI number 1285758227
LBN Legal business name Montgomery, Richard
Credentials R.N., F.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - about 19 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 1285758227 NPPES
California Other RN289585 LICENSE
California Other NP11045 LICENSE

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