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
Phone: (828) 264-4545
Fax: (828) 264-3279
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497713952 | NPPES |
North Carolina | MEDICAID | 7411785 | |
North Carolina | Other | 1497713952 |
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