Berry, Stephen E.

Berry, Stephen E. is an individual health care provider with primary practice located at 3927 Rucker Ave , Everett WA 98201-4833. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Berry, Stephen E. can be contacted via phone (425) 339-5419.

Contact Information

Primary practice address
3927 Rucker Ave Everett WA 98201-4833
Phone: (425) 339-5419
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00002606 Washington

Profile Details

NPI number 1720076698
LBN Legal business name Berry, Stephen E.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jan 18th, 2008 - about 18 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 1720076698 NPPES
Washington MEDICAID 8377616

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