Berry, Michael Alan

Berry, Michael Alan is an individual health care provider with primary practice located at 1625 N Alston St , Foley AL 36535-2208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Berry, Michael Alan can be contacted via phone (251) 970-1954.

Contact Information

Primary practice address
1625 N Alston St Foley AL 36535-2208
Phone: (251) 970-1954
Fax: (251) 970-1960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 12151 Alabama

Profile Details

NPI number 1013915099
LBN Legal business name Berry, Michael Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated May 13th, 2020 - about 5 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 1013915099 NPPES
Alabama Other 5581199 AETNA
Alabama Other 0515-13766 AETNA
Alabama Other 2910028 AETNA
Alabama MEDICAID 000034907 AETNA
Alabama Other 100015318 AETNA
Alabama Other 0510-34907 AETNA

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