Berde, Sherry
Berde, Sherry is an sole proprietor health care provider with primary practice located at 3570 Lexington Ave N Ste 100 , Shoreview MN 55126-8058. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berde, Sherry can be contacted via phone (651) 481-0637.Contact Information
Primary practice address
3570 Lexington Ave N Ste 100
Shoreview MN 55126-8058
Phone: (651) 481-0637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP 1429 | Minnesota |
Profile Details
| NPI number | 1134288962 |
|---|---|
| LBN Legal business name | Berde, Sherry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134288962 | NPPES |
| Minnesota | Other | 6268215 | MEDICA (UBH) |
| Minnesota | Other | HP18512 | MEDICA (UBH) |
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