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Contact Information

MELISSA A BERRY
155 LONG RD
POLLOCK, LA71467-3032
 Phone: 318-955-3035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Driver

172A00000X
Indicates primary specialty

NPI Profile & details for MELISSA A BERRY · (Female)

NPI Number 1568940005
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2018
Last updated 08/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 008618951
  • LA Medicaid 83-1234218
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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