Berry, Marc Edward
Berry, Marc Edward is an individual health care provider with primary practice located at 15155 Highway 43 , Russellville AL 35653-1975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Berry, Marc Edward can be contacted via phone (205) 940-9050.Contact Information
Primary practice address
15155 Highway 43
Russellville AL 35653-1975
Phone: (205) 940-9050
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 00020244 | Alabama |
Profile Details
NPI number | 1326096421 |
---|---|
LBN Legal business name | Berry, Marc Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1326096421 | NPPES |
Alabama | MEDICAID | 51556055 |
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