Funderburk, Anne Louise
Funderburk, Anne Louise is an sole proprietor health care provider with primary practice located at 9 Everett St , Brunswick ME 04011-2403. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Funderburk, Anne Louise can be contacted via phone (207) 729-7710.Contact Information
Primary practice address
9 Everett St
Brunswick ME 04011-2403
Phone: (207) 729-7710
Fax: (207) 729-7801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 01039 | Maine |
Profile Details
| NPI number | 1952302291 |
|---|---|
| LBN Legal business name | Funderburk, Anne Louise |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1952302291 | NPPES |
| Maine | Other | 006274 | ANTHEM BCBS |
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