Berryhill, G D
Berryhill, G D is an sole proprietor health care provider with primary practice located at 860 Desoto Avenue Ext , Clarksdale MS 38614-2003. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Berryhill, G D can be contacted via phone (662) 627-7438.Contact Information
Primary practice address
860 Desoto Avenue Ext
Clarksdale MS 38614-2003
Phone: (662) 627-7438
Fax: (662) 624-4024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 06979 | Mississippi |
Profile Details
| NPI number | 1346340981 |
|---|---|
| LBN Legal business name | Berryhill, G D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346340981 | NPPES |
| Mississippi | MEDICAID | 00017218 |
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