Berry, Dennis W
Berry, Dennis W is an individual health care provider with primary practice located at 1125 W Iron Springs Rd , Prescott AZ 86305-1623. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Surgery, Speech, Language and Hearing Service Providers / Audiologist. Allopathic & Osteopathic Physicians / Otolaryngic Allergy is his primary health care specialty. Berry, Dennis W can be contacted via phone (928) 778-9190.Contact Information
Primary practice address
1125 W Iron Springs Rd
Prescott AZ 86305-1623
Phone: (928) 778-9190
Fax: (928) 778-3005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 9261 | Arizona |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9261 | Arizona |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 9261 | Arizona |
Profile Details
| NPI number | 1427044122 |
|---|---|
| LBN Legal business name | Berry, Dennis W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Mar 24th, 2011 - 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 | 1427044122 | NPPES |
| Arizona | MEDICAID | 225864 |
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