Funck, Roberta Elaine
Funck, Roberta Elaine is an individual health care provider with primary practice located at 294 W State Route 89A , Cottonwood AZ 86326-3754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Funck, Roberta Elaine can be contacted via phone (928) 649-7889.Contact Information
Primary practice address
294 W State Route 89A
Cottonwood AZ 86326-3754
Phone: (928) 649-7889
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4341 | Arizona |
Profile Details
| NPI number | 1700086816 |
|---|---|
| LBN Legal business name | Funck, Roberta Elaine |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Mar 14th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700086816 | NPPES |
| Arizona | MEDICAID | 486799 |
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