Berry, Gage Nathaniel

Berry, Gage Nathaniel is an sole proprietor health care provider with primary practice located at 110 Heisman St , Clemson SC 29634-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Berry, Gage Nathaniel can be contacted via phone (864) 656-3453.

Contact Information

Primary practice address
110 Heisman St Clemson SC 29634-0001
Phone: (864) 656-3453
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1787 South Carolina

Profile Details

NPI number 1548612823
LBN Legal business name Berry, Gage Nathaniel
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2016
Last updated Jul 11th, 2016 - about 8 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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