Montgomery, Travis J

Montgomery, Travis J is an individual health care provider with primary practice located at 3731 Guion Road Suite C, Indianapolis IN 46222-7604. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Montgomery, Travis J can be contacted via phone (317) 931-0664.

Contact Information

Primary practice address
3731 Guion Road Suite C Indianapolis IN 46222-7604
Phone: (317) 931-0664
Fax: (317) 927-0924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07001006A Indiana

Profile Details

NPI number 1154323731
LBN Legal business name Montgomery, Travis J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Apr 16th, 2013 - about 13 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 1154323731 NPPES
Indiana MEDICAID 200525150

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