Berry, Charles Markham

Berry, Charles Markham is an sole proprietor health care provider with primary practice located at 42333 Deluxe Plz Suite 7, Hammond LA 70403-1239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Berry, Charles Markham can be contacted via phone (985) 345-2555.

Contact Information

Primary practice address
42333 Deluxe Plz Suite 7 Hammond LA 70403-1239
Fax: (985) 345-2837
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD.013651 Louisiana

Profile Details

NPI number 1740283258
LBN Legal business name Berry, Charles Markham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2005
Last updated Mar 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740283258 NPPES
Louisiana MEDICAID 1306509

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