Berry Jr, John Chester
Berry Jr, John Chester is an sole proprietor health care provider with primary practice located at 632 Gary St , Durham NC 27703-2202. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Berry Jr, John Chester can be contacted via phone (919) 682-4861.Contact Information
Primary practice address
632 Gary St
Durham NC 27703-2202
Phone: (919) 682-4861
Fax: (919) 688-4861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4425 | North Carolina |
Profile Details
| NPI number | 1760426159 |
|---|---|
| LBN Legal business name | Berry Jr, John Chester |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1760426159 | NPPES |
| North Carolina | Other | D402554 | CIGNA |
| North Carolina | Other | 111150 | CIGNA |
| North Carolina | MEDICAID | 8990679 | CIGNA |
| North Carolina | Other | 90679 | CIGNA |
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