Berry, Dennis W

Berry, Dennis W is an individual health care provider with primary practice located at 1125 W Iron Springs Rd , Prescott AZ 86305-1623. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Surgery, Speech, Language and Hearing Service Providers / Audiologist. Allopathic & Osteopathic Physicians / Otolaryngic Allergy is his primary health care specialty. Berry, Dennis W can be contacted via phone (928) 778-9190.

Contact Information

Primary practice address
1125 W Iron Springs Rd Prescott AZ 86305-1623
Phone: (928) 778-9190
Fax: (928) 778-3005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 9261 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X 9261 Arizona
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 9261 Arizona

Profile Details

NPI number 1427044122
LBN Legal business name Berry, Dennis W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Mar 24th, 2011 - about 13 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 1427044122 NPPES
Arizona MEDICAID 225864

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