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:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1134212764 | NPPES |
| Missouri | MEDICAID | 1134212764 |
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