Berry, Robert G

Berry, Robert G is an individual health care provider with primary practice located at 6630 S Mccarran Blvd Suite A-4, Reno NV 89509-6135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Berry, Robert G can be contacted via phone (775) 828-2873.

Contact Information

Primary practice address
6630 S Mccarran Blvd Suite A-4 Reno NV 89509-6135
Phone: (775) 828-2873
Fax: (775) 828-2889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 6668 Nevada
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G75770 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 6668 Nevada
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X G75770 California

Profile Details

NPI number 1356327522
LBN Legal business name Berry, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jul 20th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356327522 NPPES
Nevada MEDICAID 002016504
Nevada Other 11039746

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