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
Phone: (410) 742-8801
Fax: (410) 742-8816
Website:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 1477558591 | NPPES |
| Maryland | MEDICAID | 0400912 00 |
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