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Contact Information

MONTGOMERY CLINIC LLC
641 ROWENA ST
MONTGOMERY, LA71454
 Phone: 318-354-9348
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MONTGOMERY CLINIC LLC · (Female)

NPI # 1730320946
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2009
Last updated 03/18/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 022285
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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