Berry, Elton

Berry, Elton is an individual health care provider with primary practice located at 4415 Aicholtz Road Mercy Health - Eastgate Medical Center, Cincinnati OH 45245. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Berry, Elton can be contacted via phone (513) 947-1130.

Contact Information

Primary practice address
4415 Aicholtz Road Mercy Health - Eastgate Medical Center Cincinnati OH 45245
Phone: (513) 947-1130
Fax: (513) 947-8541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 110791 Ohio

Profile Details

NPI number 1265422125
LBN Legal business name Berry, Elton
Credentials R.N., C.R.N.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Dec 10th, 2013 - about 13 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 1265422125 NPPES
Ohio MEDICAID 0968636

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