Edward W. Berry Md Pc

LBN: Edward W. Berry Md Pc
Edward W. Berry Md Pc is an health care organization with primary practice located at 4403 Harrison Blvd Ste 3680 , Ogden UT 84403-3289. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Edward W. Berry Md Pc can be contacted via phone (801) 387-3900, or through Berry, Edward W via phone (801) 387-3900.

Contact Information

Primary practice address
4403 Harrison Blvd Ste 3680 Ogden UT 84403-3289
Phone: (801) 387-3900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berry, Edward W Doctor of Medicine (MD)
Phone: (801) 387-3900

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1912111006
LBN Legal business name Edward W. Berry Md Pc
DBA Doing business as
Authorized official Berry, Edward W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Apr 28th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912111006 NPPES
Utah MEDICAID 498622472004

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