Mioux Berry, Mary A
Mioux Berry, Mary A is an individual health care provider with primary practice located at 630 S Raymond Ave Suite #120, Pasadena CA 91105-3278. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Mioux Berry, Mary A can be contacted via phone (626) 403-1444.Contact Information
Primary practice address
630 S Raymond Ave Suite #120
Pasadena CA 91105-3278
Phone: (626) 403-1444
Fax: (626) 403-1448
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036084547 | Illinois |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 20A8359 | California |
Profile Details
NPI number | 1023014750 |
---|---|
LBN Legal business name | Mioux Berry, Mary A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2005 |
Last updated | Oct 8th, 2009 - about 15 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 | 1023014750 | NPPES |
Illinois | Other | 250004104 | RAILROAD MEDICAID |
Illinois | Other | 0006005217 | RAILROAD MEDICAID |
Popular Providers
-
Pecha, Marc Daniel
2701 Babcock Rd Ste A, San Antonio TX 78229-4866 -
Maiello, Robert L.
600 E Dixie Ave , Leesburg FL 34748-5925 -
Hegde, Sunil Kumar
630 S. Raymond Ave. Suite #120, Pasadena CA 91105 -
Weingarden, David Solomon
43555 Dalcoma Dr Ste 4, Clinton Township MI 48038-6310 -
Bhakta, Akash
100 W California Blvd , Pasadena CA 91105-3010 -
Chesler, Bradley Howard
1955 Citracado Pkwy Suite 203, Escondido CA 92029-4110 -
Chang, Sai Kai James
1904 Mill Road , South Pasadena CA 91030 -
Nkansa, Kwasi
2585 E Washington Blvd , Pasadena CA 91107-1446