Berry, Mary C.
Berry, Mary C. is an sole proprietor health care provider with primary practice located at 31835 124Th St Suite A, Princeton MN 55371-3316. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Berry, Mary C. can be contacted via phone (763) 631-3070.Contact Information
Primary practice address
31835 124Th St Suite A
Princeton MN 55371-3316
Phone: (763) 631-3070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4094 | Minnesota |
| Chiropractic Providers / Chiropractor | 111N00000X | 8666 | Texas |
Profile Details
| NPI number | 1093881989 |
|---|---|
| LBN Legal business name | Berry, Mary C. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2006 |
| Last updated | Jun 8th, 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 | 1093881989 | NPPES |
| Minnesota | MEDICAID | 520082200 |
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