Berry, Melissa Ann

Berry, Melissa Ann is an individual health care provider with primary practice located at 155 Long Rd , Pollock LA 71467-3032. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Berry, Melissa Ann can be contacted via phone (318) 955-3035.

Contact Information

Primary practice address
155 Long Rd Pollock LA 71467-3032
Phone: (318) 955-3035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 008618951 Louisiana

Profile Details

NPI number 1568940005
LBN Legal business name Berry, Melissa Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2018
Last updated Aug 6th, 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 1568940005 NPPES
Louisiana MEDICAID 83-1234218

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