Berry, Jordan
Berry, Jordan is an sole proprietor health care provider with primary practice located at 209 N Missouri St , Macon MO 63552-2151. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Berry, Jordan can be contacted via phone (660) 395-5045.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | 2015016912 | Missouri |
Profile Details
NPI number | 1891145975 |
---|---|
LBN Legal business name | Berry, Jordan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 20th, 2016 |
Last updated | Jun 20th, 2016 - about 9 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.
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