Berry, Colin

Berry, Colin is an individual health care provider with primary practice located at 305 W Country Club Rd , Roswell NM 88201-5892. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Berry, Colin can be contacted via phone (575) 622-6322.

Contact Information

Primary practice address
305 W Country Club Rd Roswell NM 88201-5892
Phone: (575) 622-6322
Fax: (575) 622-6888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101045353 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 24636 West Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD2013-0799 New Mexico

Profile Details

NPI number 1235168642
LBN Legal business name Berry, Colin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Dec 3rd, 2020 - about 5 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 1235168642 NPPES
New Mexico Other MD2013-0799 NM LICENSE
New Mexico MEDICAID 010217580 NM LICENSE

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