Berry, Pamela

Berry, Pamela is an individual health care provider with primary practice located at 29255 Northwestern Hwy Suite 100, Southfield MI 48034-1018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Berry, Pamela can be contacted via phone (248) 358-2410.

Contact Information

Primary practice address
29255 Northwestern Hwy Suite 100 Southfield MI 48034-1018
Fax: (248) 358-2470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301047877 Michigan

Profile Details

NPI number 1811995491
LBN Legal business name Berry, Pamela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Apr 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811995491 NPPES
Michigan MEDICAID 4483460

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