Active NPIIndividual providerSole proprietor

Mr. Shawn Berry, LATC, CSCS

Specialist/Technologist, Athletic Trainer in Caribou, Maine

NPI Number1336374578
Practice location
163 Van Buren RD, Caribou, ME 04736-3567
Fax
—
Last updated
May 18, 2009

Shawn Berry is a Specialist/Technologist, Athletic Trainer based in Caribou, ME. Shawn Berry practices in Caribou, ME and has the professional credentials of LATC, CSCS. The NPI Number for Shawn Berry is 1336374578 and holds a License No. AT265 (ME). The current practice location address for Shawn Berry is 163 Van Buren RD, Caribou, ME 04736-3567 and can be reached out via phone at 207-498-1618.

Provider Profile Details

NPI Number
1336374578
Provider Name
Shawn Berry
Credential
LATC, CSCS
Provider Entity Type
Individual
Gender
Male
Address
163 Van Buren RD, Caribou, ME 04736-3567
Phone Number
207-498-1618
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
May 18, 2009
Last Update Date
May 18, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
163 Van Buren RD
Caribou, ME 04736-3567
State
Maine
Zip
04736-3567
Phone Number
207-498-1618
Caribou, ME 04736Get directions →

Provider Business Mailing Address Details

Address
Po Box 1093
Caribou, ME 04736-1093
City
Caribou
State
ME
Zip
04736-1093
Phone Number
207-227-6020

License Information

License Number
AT265
License State
ME
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Shawn Berry, LATC, CSCS?

The NPI number of Mr. Shawn Berry, LATC, CSCS is 1336374578. It was assigned on May 18, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Shawn Berry, LATC, CSCS?

Mr. Shawn Berry, LATC, CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT265.

Where does Mr. Shawn Berry, LATC, CSCS practice?

The practice location is 163 Van Buren RD, Caribou, ME 04736-3567. The office can be reached at 207-498-1618 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336374578 directly on the NPPES registry website.

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