Berry, Jonathan Jordan
Berry, Jonathan Jordan is an individual health care provider with primary practice located at 3200 Northline Ave Suite 250, Greensboro NC 27408-7616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Berry, Jonathan Jordan can be contacted via phone (336) 273-7900.Contact Information
Primary practice address
3200 Northline Ave Suite 250
Greensboro NC 27408-7616
Phone: (336) 273-7900
Fax: (336) 273-8147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 29892 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 29892 | North Carolina |
Profile Details
| NPI number | 1235237926 |
|---|---|
| LBN Legal business name | Berry, Jonathan Jordan |
| Credentials | MD FACC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 11th, 2021 - about 3 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 | 1235237926 | NPPES |
| North Carolina | Other | 11527 | BCBS NC |
| North Carolina | MEDICAID | 8911527 | BCBS NC |
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