TOM MONTGOMERY III, Nursing Home Administrator MUSKOGEE, OK

Contact Information

TOM MONTGOMERY III

1929 BETTY JANE LN
MUSKOGEE, OK 74403-1581

Phone: 918-683-9407
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nursing Home Administrator	376G00000X

Indicates primary specialty

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NPI Profile & details for TOM MONTGOMERY III · (Male)

NPI #	`1205225117`
Status	Active
Credentials
Entity	Individual
Enumeration date	01/15/2015
Last updated	01/15/2015 - About 11 years ago
Sole proprietor ¹	No
Identifiers	OK License # 2286 OK Medicaid 200106120A OK Other 375174 MEDICARE PROVIDER ENROLLMENT
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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TOM MONTGOMERY IIINursing Home Administrator

Contact Information

Specialty

Nursing Home Administrator

NPI Profile & details for TOM MONTGOMERY III · (Male)

Reviews for TOM MONTGOMERY III

TOM MONTGOMERY III
Nursing Home Administrator