Berry, Max Wayne
Berry, Max Wayne is an individual health care provider with primary practice located at 3650 Piper Street, Ste A , Anchorage AK 99508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Berry, Max Wayne can be contacted via phone (907) 339-9455.Contact Information
Primary practice address
3650 Piper Street, Ste A
Anchorage AK 99508
Phone: (907) 339-9455
Fax: (907) 339-9445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD60343987 | Washington |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 30970 | South Carolina |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 31693 | Alabama |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | Q9958 | Texas |
Profile Details
| NPI number | 1578763355 |
|---|---|
| LBN Legal business name | Berry, Max Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Aug 27th, 2018 - about 7 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 | 1578763355 | NPPES |
| Washington | Other | P01287745 | RR MEDICARE |
| Washington | Other | 314118 | RR MEDICARE |
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