Montgomery, Travis

Montgomery, Travis is an sole proprietor health care provider with primary practice located at 4400 W 95Th St Ste 308 , Oak Lawn IL 60453-2660. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Montgomery, Travis can be contacted via phone (708) 346-4040.

Contact Information

Primary practice address
4400 W 95Th St Ste 308 Oak Lawn IL 60453-2660
Phone: (708) 346-4040
Fax: (708) 346-3287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 041472495 Illinois
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 238000654 Illinois

Profile Details

NPI number 1679054696
LBN Legal business name Montgomery, Travis
Credentials RNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2018
Last updated Apr 8th, 2020 - about 5 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 1679054696 NPPES
Illinois Other 041472495 IL RN LICENSE
Illinois Other 238000654 IL RN LICENSE

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