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

Primary practice address
209 N Missouri St Macon MO 63552-2151
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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