Berry, Wayne J.

Berry, Wayne J. is an individual health care provider with primary practice located at 759 S Main St , Woodstock VA 22664-1127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berry, Wayne J. can be contacted via phone (540) 459-1100.

Contact Information

Primary practice address
759 S Main St Woodstock VA 22664-1127
Phone: (540) 459-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35098 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101240108 Virginia

Profile Details

NPI number 1790764009
LBN Legal business name Berry, Wayne J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Feb 27th, 2021 - about 3 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 1790764009 NPPES
North Carolina MEDICAID 891518A
North Carolina MEDICAID 010321310
North Carolina Other 1790764009
North Carolina Other 1518A
North Carolina Other 540490687003

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