Berry, Brian J

Berry, Brian J is an individual health care provider with primary practice located at 7210 40Th St W Ste 100, University Place WA 98466-4318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Berry, Brian J can be contacted via phone (253) 564-0170.

Contact Information

Primary practice address
7210 40Th St W Ste 100 University Place WA 98466-4318
Phone: (253) 564-0170
Fax: (253) 207-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00024170 Washington

Profile Details

NPI number 1295744555
LBN Legal business name Berry, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Nov 16th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295744555 NPPES
Washington Other 370013712 RAILROAD
Washington Other 8930009 RAILROAD
Washington MEDICAID 1021823 RAILROAD
Washington Other 0129626 RAILROAD
Washington Other 8939534 RAILROAD
Washington Other 0205806 RAILROAD
Washington Other 0192336 RAILROAD
Washington Other 8940788 RAILROAD

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