Berry, Jacqueline

Berry, Jacqueline is an individual health care provider with primary practice located at 220 4Th Ave , Raton NM 87740-2643. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Specialist. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Berry, Jacqueline can be contacted via phone (575) 374-2032.

Contact Information

Primary practice address
220 4Th Ave Raton NM 87740-2643
Phone: (575) 374-2032
Fax: (575) 374-0158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X New Mexico
Other Service Providers / Specialist 174400000X New Mexico

Profile Details

NPI number 1811291974
LBN Legal business name Berry, Jacqueline
Credentials AAHS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2011
Last updated Jan 4th, 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.

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