Berry, Phillip Ray

Berry, Phillip Ray is an sole proprietor health care provider with primary practice located at 1145 S Utica Ave Suite 453, Tulsa OK 74104-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Berry, Phillip Ray can be contacted via phone (918) 596-7078.

Contact Information

Primary practice address
1145 S Utica Ave Suite 453 Tulsa OK 74104-4000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 3021 Oklahoma

Profile Details

NPI number 1114032539
LBN Legal business name Berry, Phillip Ray
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1114032539 NPPES
Oklahoma Other 1203021 DHS PRESCRIBER NUMBER

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