Berry, Eleanor
Berry, Eleanor is an individual health care provider with primary practice located at 134 Grandview Ave Suite 210, Waterbury CT 06708-2507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Berry, Eleanor can be contacted via phone (203) 754-2535.Contact Information
Primary practice address
134 Grandview Ave Suite 210
Waterbury CT 06708-2507
Phone: (203) 754-2535
Fax: (203) 756-9921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036786 | Connecticut |
Profile Details
| NPI number | 1558300343 |
|---|---|
| LBN Legal business name | Berry, Eleanor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jul 28th, 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 | 1558300343 | NPPES |
| Connecticut | MEDICAID | 001367863 |
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