Berry, Ralph

Berry, Ralph is an individual health care provider with primary practice located at 15 Washington St Ste 4 , Brainerd MN 56401-3351. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Berry, Ralph can be contacted via phone (612) 454-2451.

Contact Information

Primary practice address
15 Washington St Ste 4 Brainerd MN 56401-3351
Phone: (612) 454-2451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303336 Minnesota

Profile Details

NPI number 1043569049
LBN Legal business name Berry, Ralph
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Sep 5th, 2012 - about 14 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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