Berry, Robert A
Berry, Robert A is an sole proprietor health care provider with primary practice located at 2860 Hopi Drve, Suite 2B , Sedona AZ 86336. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Berry, Robert A can be contacted via phone (312) 719-6789.Contact Information
Primary practice address
2860 Hopi Drve, Suite 2B
Sedona AZ 86336
Phone: (312) 719-6789
Fax: (928) 554-4166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071003335 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1987 | Arizona |
Profile Details
| NPI number | 1588770572 |
|---|---|
| LBN Legal business name | Berry, Robert A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jan 10th, 2018 - about 6 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 | 1588770572 | NPPES |
| Illinois | Other | 35193 | NATIONAL REGISTER |
| Illinois | Other | 0001673028 | NATIONAL REGISTER |
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