Individual
MRS. FAYE MICHELLE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(419) 222-6622
(419) 224-0015
Mailing address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(419) 222-6622
(419) 224-0015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50002222RX
OH
363AS0400X
Surgical Physician Assistant
Primary
50.002222
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000521052
ANTHEM
—
Enumeration date
07/05/2005
Last updated
11/26/2025
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