Berry, Craig

Berry, Craig is an sole proprietor health care provider with primary practice located at 920 Lamplighter Ln , Grafton WI 53024-9314. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is his primary health care specialty. Berry, Craig can be contacted via phone (262) 573-1657.

Contact Information

Primary practice address
920 Lamplighter Ln Grafton WI 53024-9314
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 41733700 Wisconsin
Suppliers / Oxygen Equipment & Supplies 332BX2000X 41733700 Wisconsin

Profile Details

NPI number 1093043101
LBN Legal business name Berry, Craig
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2009
Last updated Dec 1st, 2009 - about 16 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 1093043101 NPPES
Wisconsin MEDICAID 41733700

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