Berryhill, Jody David

Berryhill, Jody David is an individual health care provider with primary practice located at 1005 W Fairmont St , Longview TX 75604-3511. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Berryhill, Jody David can be contacted via phone (903) 295-5140.

Contact Information

Primary practice address
1005 W Fairmont St Longview TX 75604-3511
Phone: (903) 295-5140
Fax: (903) 759-0898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AT1292 Texas

Profile Details

NPI number 1902866528
LBN Legal business name Berryhill, Jody David
Credentials Licensed Athletic Trainer (LAT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 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.

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