Berry, Michael A.

Berry, Michael A. is an individual health care provider with primary practice located at 2001 Crystal Spring Avenue , Roanoke VA 24016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Berry, Michael A. can be contacted via phone (540) 224-5170.

Contact Information

Primary practice address
2001 Crystal Spring Avenue Roanoke VA 24016
Phone: (540) 224-5170
Fax: (540) 983-8229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 0101040655 Virginia

Profile Details

NPI number 1245212737
LBN Legal business name Berry, Michael A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Aug 11th, 2011 - about 13 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 1245212737 NPPES
Virginia MEDICAID 5850312
Virginia MEDICAID 5842638
Virginia MEDICAID 5858666

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