Berry, Jeffrey Thomas

Berry, Jeffrey Thomas is an individual health care provider with primary practice located at 1710 Pebble Beach Pl. , Merced CA 95340. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Berry, Jeffrey Thomas can be contacted via phone (209) 388-9270.

Contact Information

Primary practice address
1710 Pebble Beach Pl. Merced CA 95340
Phone: (209) 388-9270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1144374430
LBN Legal business name Berry, Jeffrey Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144374430 NPPES
California Other STATE CERTIFICATE ACTIVTY LEADER

Popular Providers