Berry, Michael Conrad

Berry, Michael Conrad is an individual health care provider with primary practice located at 3933 South Broadway , St. Louis MO 63118-4626. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care is his primary health care specialty. Berry, Michael Conrad can be contacted via phone (314) 865-7034.

Contact Information

Primary practice address
3933 South Broadway St. Louis MO 63118-4626
Phone: (314) 865-7034
Fax: (314) 865-7018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2004004424 Missouri
Nursing Service Providers / Registered Nurse 163W00000X 041494547 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care 2279G1100X 100275 Missouri

Profile Details

NPI number 1831816511
LBN Legal business name Berry, Michael Conrad
Credentials RCP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2022
Last updated Oct 24th, 2022 - about 4 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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