Berry, Alphonso

Berry, Alphonso is an individual health care provider with primary practice located at 23550 Haggerty Rd , Farmington Hills MI 48335-2614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Berry, Alphonso can be contacted via phone (248) 381-8081.

Contact Information

Primary practice address
23550 Haggerty Rd Farmington Hills MI 48335-2614
Fax: (734) 402-0254
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301053422 Michigan

Profile Details

NPI number 1770553521
LBN Legal business name Berry, Alphonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 9th, 2009 - about 16 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 1770553521 NPPES
Michigan MEDICAID 4605652

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