person
Mr. Samuel Berry III
Driver in Flint, Michigan
NPI 1043951031

Samuel Berry III is a Driver based in Flint, MI. Samuel Berry III practices in Flint, MI. The NPI Number for Samuel Berry III is 1043951031 and holds a License No. (Michigan).

The current practice location address for Samuel Berry III is 6085 Covered Wagons Trl, Flint, MI and can be reached out via phone at 248-259-2929 and via fax at 810-407-7139. You can also correspond with Samuel Berry III through the mailing address at 6085 COVERED WAGONS TRL, FLINT, MI - 48532-2100 (mailing address contact number: 248-259-2929).

Location: 6085 Covered Wagons Trl, Flint, MI, 48532-2100
person
Provider Profile Details
NPI Number
1043951031
Provider Name
Samuel Berry III
Credential
Provider Entity Type
Individual
Gender
Male
Address
6085 Covered Wagons Trl, Flint, MI, 48532-2100
Phone Number
248-259-2929
Fax Number
810-407-7139
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
B600758013681 01 MI TRANSPORTATION PROVIDER
institution
Provider Business Practice Location Address Details
Address
6085 Covered Wagons Trl
City
State
Zip
48532-2100
Phone Number
248-259-2929
Fax Number
810-407-7139
person
Provider Business Mailing Address Details
Address
6085 Covered Wagons Trl
City
State
Zip
48532-2100
Phone Number
248-259-2929
Fax Number
810-407-7139
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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