Berry, Emily Ruth

Berry, Emily Ruth is an sole proprietor health care provider with primary practice located at 315 E Route 66 , Glendora CA 91740-6244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Berry, Emily Ruth can be contacted via phone (626) 963-4124.

Contact Information

Primary practice address
315 E Route 66 Glendora CA 91740-6244
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A131321 California

Profile Details

NPI number 1700295425
LBN Legal business name Berry, Emily Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2014
Last updated Jan 30th, 2024 - about 2 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 1700295425 NPPES
California Other A131321 CALIFORNIA MEDICAL BOARD PHYSICIAN AND SURGEON LICENSE

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