Berry, Michael Conrad
Berry, Michael Conrad is an individual health care provider with primary practice located at 3933 South Broadway , St. Louis MO 63118-4626. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care is his primary health care specialty. Berry, Michael Conrad can be contacted via phone (314) 865-7034.Contact Information
Primary practice address
3933 South Broadway
St. Louis MO 63118-4626
Phone: (314) 865-7034
Fax: (314) 865-7018
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 2004004424 | Missouri |
Nursing Service Providers / Registered Nurse | 163W00000X | 041494547 | Illinois |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care | 2279G1100X | 100275 | Missouri |
Profile Details
NPI number | 1831816511 |
---|---|
LBN Legal business name | Berry, Michael Conrad |
Credentials | RCP, RN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2022 |
Last updated | Oct 24th, 2022 - about 2 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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