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
Phone: (248) 358-2410
Fax: (248) 358-2470
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811995491 | NPPES |
| Michigan | MEDICAID | 4483460 |
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