Berry, Susan Amelia

Berry, Susan Amelia is an individual health care provider with primary practice located at University Of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis MN 55455. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Berry, Susan Amelia can be contacted via phone (612) 626-6777.

Contact Information

Primary practice address
University Of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100 Minneapolis MN 55455
Phone: (612) 626-6777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 26368 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26368 Minnesota

Profile Details

NPI number 1982640264
LBN Legal business name Berry, Susan Amelia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 20th, 2012 - about 13 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 1982640264 NPPES
Minnesota MEDICAID 666773200
Minnesota Other 24479
Minnesota MEDICAID 0052275
Minnesota Other 12-24753
Minnesota Other 1270280
Minnesota MEDICAID 41184394337
Minnesota MEDICAID 30580800
Minnesota Other 1010201
Minnesota MEDICAID 1990358
Minnesota Other 100978
Minnesota Other 2T262BE
Minnesota Other HP12898

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