Berry, Samuel

Berry, Samuel is an individual health care provider with primary practice located at 6085 Covered Wagons Trl , Flint MI 48532-2100. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Berry, Samuel can be contacted via phone (248) 259-2929.

Contact Information

Primary practice address
6085 Covered Wagons Trl Flint MI 48532-2100
Fax: (810) 407-7139
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1043951031
LBN Legal business name Berry, Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2022
Last updated Apr 5th, 2022 - about 2 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 1043951031 NPPES
Michigan Other B600758013681 TRANSPORTATION PROVIDER

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