Berry, Dirk L
Berry, Dirk L is an individual health care provider with primary practice located at 1649 Mcfarland Blvd N Suite 203, Tuscaloosa AL 35406-2281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Berry, Dirk L can be contacted via phone (205) 556-5541.Contact Information
Primary practice address
1649 Mcfarland Blvd N Suite 203
Tuscaloosa AL 35406-2281
Phone: (205) 556-5541
Fax: (205) 554-7937
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 000016499 | Alabama |
Profile Details
NPI number | 1831282938 |
---|---|
LBN Legal business name | Berry, Dirk L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2006 |
Last updated | Jun 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831282938 | NPPES |
Alabama | MEDICAID | 000087432 | |
Alabama | Other | 51087432 |
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