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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 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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