Craig Eagan Berris in Sacramento - Specialist
Craig Eagan Berris - NPI 1073538104
Craig Eagan Berris is a Specialist in Sacramento, California. Craig Eagan Berris practices all healthcare services and medical treatments related to Specialist. The NPI Number for Craig Eagan Berris is 1073538104. The last update date is 2007-07-08.
Craig Eagan Berris's current location address is 77 Scripps Dr, Sacramento, California. You can contact this provider via phone number 9169296707 and fax number 9169296897. The mailing address for Craig Eagan Berris is 77 Scripps Dr, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Eagan Berris |
|---|---|
| Address | 77 Scripps Dr, Sacramento, California |
| Phone Number | 9169296707 |
| Fax Number | 9169296897 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073538104 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 77 Scripps Dr |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958256209 |
| Phone Number | 9169296707 |
| Fax Number | 9169296897 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G32698 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G326980 | CA | -- | |
| 94269970 | CA | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Craig Eagan Berris by the Centers for Medicare & Medicaid Services?
The Craig Eagan Berris has been issued the NPI (National Provider Identifier) 1073538104, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Craig Eagan Berris is physically located?
The Craig Eagan Berris is situated at the following address: 77 Scripps Dr, Sacramento, CA 958256209.
What is Craig Eagan Berris's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Craig Eagan Berris is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did Craig Eagan Berris receive its 1073538104 assignment from the Centers for Medicare & Medicaid Services?
The Craig Eagan Berris was assigned its 1073538104 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Craig Eagan Berris most recently updated or revised?
The information pertaining to Craig Eagan Berris, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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