Berry, Darla Jo
Berry, Darla Jo is an individual health care provider with primary practice located at 7120 Clearvista Dr Ste 5100 , Indianapolis IN 46256-1868. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Berry, Darla Jo can be contacted via phone (317) 621-7120.Contact Information
Primary practice address
7120 Clearvista Dr Ste 5100
Indianapolis IN 46256-1868
Phone: (317) 621-7120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 28113679A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 0900066A | Indiana |
Profile Details
| NPI number | 1073594255 |
|---|---|
| LBN Legal business name | Berry, Darla Jo |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Mar 31st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073594255 | NPPES |
| Indiana | MEDICAID | 200252440 |
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