Berry, Carla J
Berry, Carla J is an individual health care provider with primary practice located at 520 North Chestnut Street , Ravenna OH 44266-2218. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Berry, Carla J can be contacted via phone (330) 296-5552.Contact Information
Primary practice address
520 North Chestnut Street
Ravenna OH 44266-2218
Phone: (330) 296-5552
Fax: (330) 296-6126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 186871 | Ohio |
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | RN.186871 | Ohio |
Profile Details
| NPI number | 1124233804 |
|---|---|
| LBN Legal business name | Berry, Carla J |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Feb 28th, 2022 - about 3 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 | 1124233804 | NPPES |
| Ohio | MEDICAID | 0210038 |
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