Berry, Max Wayne

Berry, Max Wayne is an individual health care provider with primary practice located at 3650 Piper Street, Ste A , Anchorage AK 99508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Berry, Max Wayne can be contacted via phone (907) 339-9455.

Contact Information

Primary practice address
3650 Piper Street, Ste A Anchorage AK 99508
Phone: (907) 339-9455
Fax: (907) 339-9445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD60343987 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 30970 South Carolina
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 31693 Alabama
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X Q9958 Texas

Profile Details

NPI number 1578763355
LBN Legal business name Berry, Max Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Aug 27th, 2018 - about 6 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 1578763355 NPPES
Washington Other P01287745 RR MEDICARE
Washington Other 314118 RR MEDICARE

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