Berry, Shannon M

Berry, Shannon M is an sole proprietor health care provider with primary practice located at 295 Posada Ln Suite D, Templeton CA 93465-4055. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Berry, Shannon M can be contacted via phone (805) 434-9900.

Contact Information

Primary practice address
295 Posada Ln Suite D Templeton CA 93465-4055
Phone: (805) 434-9900
Fax: (805) 434-9933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A070193 California

Profile Details

NPI number 1013909811
LBN Legal business name Berry, Shannon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
Last updated Mar 7th, 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 1013909811 NPPES
California Other A070193 BLUE SHIELD
California MEDICAID 00A701930 BLUE SHIELD
California Other A070193 BLUE SHIELD

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