Berry, Tristan T
Berry, Tristan T is an individual health care provider with primary practice located at 2300 S Houghton Rd Ste 240 , Tucson AZ 85748-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Berry, Tristan T can be contacted via phone (520) 203-7596.Contact Information
Primary practice address
2300 S Houghton Rd Ste 240
Tucson AZ 85748-0002
Phone: (520) 203-7596
Fax: (520) 203-7936
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 43352 | Arizona |
Profile Details
NPI number | 1366572356 |
---|---|
LBN Legal business name | Berry, Tristan T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 7th, 2007 |
Last updated | Nov 13th, 2023 - 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 | 1366572356 | NPPES |
Arizona | MEDICAID | 525349 |
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