Berry, Michael P

Berry, Michael P is an individual health care provider with primary practice located at 7945 Wolf River Blvd , Germantown TN 38138-1762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Berry, Michael P can be contacted via phone (901) 683-0055.

Contact Information

Primary practice address
7945 Wolf River Blvd Germantown TN 38138-1762
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 36377 Tennessee

Profile Details

NPI number 1144338344
LBN Legal business name Berry, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Oct 23rd, 2020 - about 4 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 1144338344 NPPES
Mississippi Other 1031029981 MEDICARE MS
Mississippi MEDICAID 126787001 MEDICARE MS
Mississippi Other 103I917534 MEDICARE MS
Mississippi MEDICAID 1529828 MEDICARE MS
Mississippi MEDICAID 07836597 MEDICARE MS

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