Berry, Ericca S

Berry, Ericca S is an individual health care provider with primary practice located at 107 Dilworth St , Glendive MT 59330-2053. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Berry, Ericca S can be contacted via phone (406) 345-8901.

Contact Information

Primary practice address
107 Dilworth St Glendive MT 59330-2053
Phone: (406) 345-8901
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 45442 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 751749 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 104569 Montana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2007020392 Missouri

Profile Details

NPI number 1659374130
LBN Legal business name Berry, Ericca S
Credentials ARNP, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659374130 NPPES
Texas Other 8K5202 MEDICARE

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