Berry, Michael P

Berry, Michael P is an individual health care provider with primary practice located at 2508 Crestwood Rd , North Little Rock AR 72116-7623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berry, Michael P can be contacted via phone (501) 758-2294.

Contact Information

Primary practice address
2508 Crestwood Rd North Little Rock AR 72116-7623
Phone: (501) 758-2294
Fax: (501) 758-7877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-3756 Arkansas

Profile Details

NPI number 1093813644
LBN Legal business name Berry, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 21st, 2008 - about 16 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 1093813644 NPPES
Arkansas MEDICAID 150346001
Arkansas Other 04020016100
Arkansas Other 652505
Arkansas Other 7867477

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