Montgomery, Tricia Dawn

Montgomery, Tricia Dawn is an individual health care provider with primary practice located at 13400 E Shea Blvd , Scottsdale AZ 85259-5499. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Montgomery, Tricia Dawn can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
13400 E Shea Blvd Scottsdale AZ 85259-5499
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 925937 Arizona

Profile Details

NPI number 1144203712
LBN Legal business name Montgomery, Tricia Dawn
Credentials R.D., CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Nov 22nd, 2022 - about 4 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 1144203712 NPPES
Arizona MEDICAID 933946
Arizona Other P00624820

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