Berry, Michelle D
Berry, Michelle D is an individual health care provider with primary practice located at 1201 S Main St Ste 110, Boerne TX 78006-2833. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Berry, Michelle D can be contacted via phone (830) 249-6000.Contact Information
Primary practice address
1201 S Main St Ste 110
Boerne TX 78006-2833
Phone: (830) 249-6000
Fax: (830) 816-6002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H9798 | Texas |
Profile Details
| NPI number | 1033194527 |
|---|---|
| LBN Legal business name | Berry, Michelle D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | May 29th, 2012 - about 12 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 | 1033194527 | NPPES |
| Texas | MEDICAID | 0919698-01 |
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