Berry, Thomas Nelson

Berry, Thomas Nelson is an individual health care provider with primary practice located at 1300 S Division St , Salisbury MD 21804-6937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Berry, Thomas Nelson can be contacted via phone (410) 742-8801.

Contact Information

Primary practice address
1300 S Division St Salisbury MD 21804-6937
Fax: (410) 742-8816
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D0005689 Maryland

Profile Details

NPI number 1477558591
LBN Legal business name Berry, Thomas Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jul 13th, 2024 - about 4 months 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 1477558591 NPPES
Maryland MEDICAID 0400912 00

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