Berry, Shaun P
Berry, Shaun P is an sole proprietor health care provider with primary practice located at 571 Kaimalino St , Kailua HI 96734-1611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berry, Shaun P can be contacted via phone (808) 387-6868.Contact Information
Primary practice address
571 Kaimalino St
Kailua HI 96734-1611
Phone: (808) 387-6868
Fax: (808) 254-2346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD8751 | Hawaii |
Profile Details
| NPI number | 1497725683 |
|---|---|
| LBN Legal business name | Berry, Shaun P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Feb 21st, 2008 - about 17 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 | 1497725683 | NPPES |
| Hawaii | MEDICAID | 07864901 | |
| Hawaii | MEDICAID | 07864902 | |
| Hawaii | Other | E207430 |
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