Berry, Phyllis Jean

Berry, Phyllis Jean is an sole proprietor health care provider with primary practice located at 615 Wellmeier Ave , Dayton OH 45410-2726. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Berry, Phyllis Jean can be contacted via phone (937) 750-5825.

Contact Information

Primary practice address
615 Wellmeier Ave Dayton OH 45410-2726
Phone: (937) 750-5825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1366156853
LBN Legal business name Berry, Phyllis Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2023
Last updated Jan 9th, 2023 - about last year

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 1366156853 NPPES
Ohio MEDICAID 0259953

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