Berry, Todd Matthew

Berry, Todd Matthew is an individual health care provider with primary practice located at 110 Kingsley Ln Ste 305 , Norfolk VA 23505-4617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Berry, Todd Matthew can be contacted via phone (757) 889-5422.

Contact Information

Primary practice address
110 Kingsley Ln Ste 305 Norfolk VA 23505-4617
Phone: (757) 889-5422
Fax: (757) 889-5450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101246735 Virginia

Profile Details

NPI number 1093977571
LBN Legal business name Berry, Todd Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2008
Last updated Jun 19th, 2019 - about 5 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 1093977571 NPPES
Virginia MEDICAID 1093977571

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