Berry, Constina
Berry, Constina is an individual health care provider with primary practice located at 1221 Taylor St Nw , Washington DC 20011-5617. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Berry, Constina can be contacted via phone (202) 464-9200.Contact Information
Primary practice address
1221 Taylor St Nw
Washington DC 20011-5617
Phone: (202) 464-9200
Fax: (202) 464-5740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ADD13912 | District of Columbia |
Profile Details
| NPI number | 1255473633 |
|---|---|
| LBN Legal business name | Berry, Constina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1255473633 | NPPES |
| District of Columbia | Other | 287814 | AMERIGROUP(MEDICAID MCO) |
| District of Columbia | Other | 5237 | AMERIGROUP(MEDICAID MCO) |
| District of Columbia | Other | 23349 | AMERIGROUP(MEDICAID MCO) |
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