Berry, Jon M
Berry, Jon M is an individual health care provider with primary practice located at 3 E Appleby Rd Ste 401 , Fayetteville AR 72703-3163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Berry, Jon M can be contacted via phone (479) 404-2500.Contact Information
Primary practice address
3 E Appleby Rd Ste 401
Fayetteville AR 72703-3163
Phone: (479) 404-2500
Fax: (479) 404-2501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | E4061 | Arkansas |
Profile Details
| NPI number | 1124085469 |
|---|---|
| LBN Legal business name | Berry, Jon M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jun 2nd, 2023 - about 2 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 | 1124085469 | NPPES |
| Arkansas | MEDICAID | 156509001 |
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