Berry, Jo Anne
Berry, Jo Anne is an individual health care provider with primary practice located at 1101 E Spring St , Anthony KS 67003-2122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Berry, Jo Anne can be contacted via phone (620) 842-5144.Contact Information
Primary practice address
1101 E Spring St
Anthony KS 67003-2122
Phone: (620) 842-5144
Fax: (620) 842-3372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1501016 | Kansas |
Profile Details
| NPI number | 1396756300 |
|---|---|
| LBN Legal business name | Berry, Jo Anne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Aug 8th, 2019 - about 5 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 | 1396756300 | NPPES |
| Kansas | MEDICAID | 200378490A | |
| Kansas | Other | 426833 |
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