Berry, Cora S.

Berry, Cora S. is an sole proprietor health care provider with primary practice located at 812 W 13Th St , Mccook NE 69001-2927. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Berry, Cora S. can be contacted via phone (308) 345-1429.

Contact Information

Primary practice address
812 W 13Th St Mccook NE 69001-2927
Phone: (308) 345-1429
Fax: (308) 345-6513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 011 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 393 Nebraska
Behavioral Health & Social Service Providers / Professional 101YP2500X 284 Nebraska
Behavioral Health & Social Service Providers / Professional 101YP2500X 103 Kansas

Profile Details

NPI number 1073520508
LBN Legal business name Berry, Cora S.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073520508 NPPES
Nebraska MEDICAID 100249773-00

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