Berry, Greg
Berry, Greg is an sole proprietor health care provider with primary practice located at 1102 Brown St , Washington NC 27889. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Suppliers / Customized Equipment. Suppliers / Customized Equipment is his primary health care specialty. Berry, Greg can be contacted via phone (252) 940-1203.Contact Information
Primary practice address
1102 Brown St
Washington NC 27889
Phone: (252) 940-1203
Fax: (252) 940-1206
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | CPO1835 | |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | CPO1835 | |
Suppliers / Customized Equipment | 332BC3200X | North Carolina |
Profile Details
NPI number | 1639131592 |
---|---|
LBN Legal business name | Berry, Greg |
Credentials | CPO CPED |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 5th, 2006 |
Last updated | Sep 30th, 2013 - about 11 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 | 1639131592 | NPPES |
Other | 7795163 | INDIVID EDS PED ORTHO | |
MEDICAID | 9190511 | INDIVID EDS PED ORTHO | |
Other | 0482P | INDIVID EDS PED ORTHO | |
Other | 7795164 | INDIVID EDS PED ORTHO | |
MEDICAID | 7701327 | INDIVID EDS PED ORTHO | |
Other | 384410 | INDIVID EDS PED ORTHO |
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