Funderburg, Jeremy C

Funderburg, Jeremy C is an individual health care provider with primary practice located at 217 S Jefferson Ave Ste 100 , El Dorado AR 71730-5900. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Funderburg, Jeremy C can be contacted via phone (870) 862-7984.

Contact Information

Primary practice address
217 S Jefferson Ave Ste 100 El Dorado AR 71730-5900
Fax: (870) 863-5154
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1396974838
LBN Legal business name Funderburg, Jeremy C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2009
Last updated Jul 6th, 2009 - about 16 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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