Berry, Michael K
Berry, Michael K is an individual health care provider with primary practice located at 1415 Ross Ave , El Centro CA 92243-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Berry, Michael K can be contacted via phone (760) 339-7100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G72558 | California |
Profile Details
| NPI number | 1861494569 |
|---|---|
| LBN Legal business name | Berry, Michael K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Feb 10th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861494569 | NPPES |
| California | MEDICAID | 00G725580 |
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