Berryhill, Phillip Clayton
Berryhill, Phillip Clayton is an individual health care provider with primary practice located at 1075 N. Curtis Rd Suite 201, Boise ID 83706-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Berryhill, Phillip Clayton can be contacted via phone (208) 367-4000.Contact Information
Primary practice address
1075 N. Curtis Rd Suite 201
Boise ID 83706-1300
Phone: (208) 367-4000
Fax: (208) 367-4052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD2005-0523 | New Mexico |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | M-10837 | Idaho |
Profile Details
| NPI number | 1225122690 |
|---|---|
| LBN Legal business name | Berryhill, Phillip Clayton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jan 28th, 2010 - about 14 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 | 1225122690 | NPPES |
| New Mexico | MEDICAID | 30653037 |
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