Berry, Brian J
Berry, Brian J is an individual health care provider with primary practice located at 7210 40Th St W Ste 100, University Place WA 98466-4318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Berry, Brian J can be contacted via phone (253) 564-0170.Contact Information
Primary practice address
7210 40Th St W Ste 100
University Place WA 98466-4318
Phone: (253) 564-0170
Fax: (253) 207-4240
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00024170 | Washington |
Profile Details
NPI number | 1295744555 |
---|---|
LBN Legal business name | Berry, Brian J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2006 |
Last updated | Nov 16th, 2010 - about 15 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 | 1295744555 | NPPES |
Washington | Other | 370013712 | RAILROAD |
Washington | Other | 8930009 | RAILROAD |
Washington | MEDICAID | 1021823 | RAILROAD |
Washington | Other | 0129626 | RAILROAD |
Washington | Other | 8939534 | RAILROAD |
Washington | Other | 0205806 | RAILROAD |
Washington | Other | 0192336 | RAILROAD |
Washington | Other | 8940788 | RAILROAD |
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