Berry, Terry L.

Berry, Terry L. is an individual health care provider with primary practice located at 54 Hospital Drive , Osage Beach MO 65065-3050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Berry, Terry L. can be contacted via phone (573) 348-8100.

Contact Information

Primary practice address
54 Hospital Drive Osage Beach MO 65065-3050
Phone: (573) 348-8100
Fax: (573) 348-8650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MOR5B53 Missouri
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X R5B53 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R5B53 Missouri

Profile Details

NPI number 1134212764
LBN Legal business name Berry, Terry L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated May 1st, 2017 - about 8 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 1134212764 NPPES
Missouri MEDICAID 1134212764

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