Berry, John
Berry, John is an individual health care provider with primary practice located at 701 Doctors Dr Suite A, Kinston NC 28501-1589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Berry, John can be contacted via phone (252) 522-1626.Contact Information
Primary practice address
701 Doctors Dr Suite A
Kinston NC 28501-1589
Phone: (252) 522-1626
Fax: (252) 522-1486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 28128 | North Carolina |
Profile Details
| NPI number | 1003857772 |
|---|---|
| LBN Legal business name | Berry, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jun 29th, 2010 - 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 | 1003857772 | NPPES |
| North Carolina | MEDICAID | 8915186 |
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