Individual
TREVOR SEAN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., D.A.C.N.B.
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
5648
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28071104
WORKERS COMP.
AZ
01
—
641432
UNITED HEALTH CARE
AZ
01
—
AZ 0243810
BCBS OF AZ
AZ
Enumeration date
10/19/2005
Last updated
07/08/2007
Update your record
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