Berry, Jon Mark
Berry, Jon Mark is an individual health care provider with primary practice located at 11601 Toepperwein Rd , Live Oak TX 78233-3147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Berry, Jon Mark can be contacted via phone (210) 946-2020.Contact Information
Primary practice address
11601 Toepperwein Rd
Live Oak TX 78233-3147
Phone: (210) 946-2020
Fax: (210) 590-3936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | H9797 | Texas |
Profile Details
| NPI number | 1174637482 |
|---|---|
| LBN Legal business name | Berry, Jon Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174637482 | NPPES |
| Texas | MEDICAID | 084865701 |
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