Berryman, Stuart Holland
Berryman, Stuart Holland is an individual health care provider with primary practice located at 4909 N Glen Park Place Rd , Peoria IL 61614-4676. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Berryman, Stuart Holland can be contacted via phone (309) 674-7546.Contact Information
Primary practice address
4909 N Glen Park Place Rd
Peoria IL 61614-4676
Phone: (309) 674-7546
Fax: (309) 282-0500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Illinois |
Profile Details
| NPI number | 1093774705 |
|---|---|
| LBN Legal business name | Berryman, Stuart Holland |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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