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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326096421 NPPES
Alabama MEDICAID 51556055

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