Berry, Phillip Ray
Berry, Phillip Ray is an sole proprietor health care provider with primary practice located at 1145 S Utica Ave Suite 453, Tulsa OK 74104-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Berry, Phillip Ray can be contacted via phone (918) 596-7078.Contact Information
Primary practice address
1145 S Utica Ave Suite 453
Tulsa OK 74104-4000
Phone: (918) 596-7078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 3021 | Oklahoma |
Profile Details
| NPI number | 1114032539 |
|---|---|
| LBN Legal business name | Berry, Phillip Ray |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1114032539 | NPPES |
| Oklahoma | Other | 1203021 | DHS PRESCRIBER NUMBER |
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