Berry, Grant Anderson

Berry, Grant Anderson is an individual health care provider with primary practice located at 870 State Farm Rd Ste 303, Boone NC 28607-4861. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Berry, Grant Anderson can be contacted via phone (828) 264-4545.

Contact Information

Primary practice address
870 State Farm Rd Ste 303 Boone NC 28607-4861
Fax: (828) 264-3279
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2700 North Carolina

Profile Details

NPI number 1497713952
LBN Legal business name Berry, Grant Anderson
Credentials MACCCA
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jun 4th, 2015 - about 10 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 1497713952 NPPES
North Carolina MEDICAID 7411785
North Carolina Other 1497713952

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