Funderburk, Alicia D

Funderburk, Alicia D is an individual health care provider with primary practice located at 34 Maple St , Norwalk CT 06850-3894. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Funderburk, Alicia D can be contacted via phone (203) 852-2188.

Contact Information

Primary practice address
34 Maple St Norwalk CT 06850-3894
Phone: (203) 852-2188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6321 Connecticut

Profile Details

NPI number 1285310508
LBN Legal business name Funderburk, Alicia D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2023
Last updated Oct 28th, 2023 - about 3 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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