Berry, Clinton Alan

Berry, Clinton Alan is an individual health care provider with primary practice located at Unit 33100 , Apo AE 09180-3100. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Berry, Clinton Alan can be contacted via phone (314) 590-0001.

Contact Information

Primary practice address
Unit 33100 Apo AE 09180-3100
Phone: (314) 590-0001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9272095 Florida

Profile Details

NPI number 1124276787
LBN Legal business name Berry, Clinton Alan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2008
Last updated Dec 27th, 2023 - about 2 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 1124276787 NPPES
Florida MEDICAID 000373200
Florida Other G4623
Florida Other 592-03533

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