Berry, Mary Dawn
Berry, Mary Dawn is an individual health care provider with primary practice located at 1221 Pierce St , Sioux City IA 51105-1418. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Berry, Mary Dawn can be contacted via phone (712) 255-0232.Contact Information
Primary practice address
1221 Pierce St
Sioux City IA 51105-1418
Phone: (712) 255-0232
Fax: (712) 255-0354
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 704927 | Iowa |
Profile Details
NPI number | 1649545880 |
---|---|
LBN Legal business name | Berry, Mary Dawn |
Credentials | ICADAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 21st, 2012 |
Last updated | Mar 21st, 2012 - about 12 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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