Antoinette Berry
Individual provider Active NPI Other Technician · Brownstown TWP, MI
NPI 1871950451 · NPPES record last updated Jan 27, 2016
Key facts
- NPI
- 1871950451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 27064 Starkey LN
Brownstown TWP, MI 48174-8501 - Phone
- (313) 995-5476
- NPI assigned
- Jan 27, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
27064 Starkey LN
Brownstown TWP, MI 48174-8501
Mailing address
27064 Starkey LN
Brownstown TWP, MI 48174-8501
Phone (313) 995-5476
Other providers in Brownstown TWP, MI
- Junita Bahroos
- Andrea Bates
- Khandyce Alaysha Bates
- Alissa Becker
- Kevin J Berlin
- Nabil Bhatti
- Ryan Lee Blackstock
- Edward A Blanzy
- Bormans Inc
- Tanya Michele Brooks
All providers in Brownstown TWP, MI · Other Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.