Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | RN1016301 | DC |
NPI | 1043205701 |
---|---|
Provider Name | Margaret L Montgomery |
First Address | Washington, DC 20010-2927 |
Second Address | Washington, DC 20010-2927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 24/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008765210001 | (05) | PA |
191610 | HIGHMARK BLUE SHIELD (01) | PA |
211879 | UPMC (01) | PA |
S34107 | (02) | PA |