Funderburg, Gerald R.

Funderburg, Gerald R. is an sole proprietor health care provider with primary practice located at 7375 Woodward Ave Ste 2800 , Detroit MI 48202-3157. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Funderburg, Gerald R. can be contacted via phone (888) 922-2843.

Contact Information

Primary practice address
7375 Woodward Ave Ste 2800 Detroit MI 48202-3157
Phone: (888) 922-2843
Fax: (855) 568-2494
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1649304700
LBN Legal business name Funderburg, Gerald R.
Credentials NONE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Apr 1st, 2022 - about 4 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.

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