Berry, Lisa M.

Berry, Lisa M. is an sole proprietor health care provider with primary practice located at 235 Kings Mill Ct , Roswell GA 30075-4940. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Berry, Lisa M. can be contacted via phone (678) 682-3988.

Contact Information

Primary practice address
235 Kings Mill Ct Roswell GA 30075-4940
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH 5216 Florida
Chiropractic Providers / Chiropractor 111N00000X CHIROO8454 Georgia

Profile Details

NPI number 1891799219
LBN Legal business name Berry, Lisa M.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Oct 5th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891799219 NPPES
Florida Other 650319614 EMI /ECN INSURANCE

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