Berryman, Jay D

Berryman, Jay D is an individual health care provider with primary practice located at 2200 4Th St , Baker City OR 97814-2615. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Berryman, Jay D can be contacted via phone (541) 523-3646.

Contact Information

Primary practice address
2200 4Th St Baker City OR 97814-2615
Fax: (541) 523-7602
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1003050428
LBN Legal business name Berryman, Jay D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2009
Last updated Apr 29th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003050428 NPPES
Oregon MEDICAID 014274

Popular Providers