Funderburk, Charles Harwood
Funderburk, Charles Harwood is an individual health care provider with primary practice located at 9600 Broadway Ext , Oklahoma City OK 73114. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Funderburk, Charles Harwood can be contacted via phone (405) 230-9000.Contact Information
Primary practice address
9600 Broadway Ext
Oklahoma City OK 73114
Phone: (405) 230-9000
Fax: (405) 230-9157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 17610 | Oklahoma |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 17610 | Oklahoma |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 17610 | Oklahoma |
Profile Details
| NPI number | 1558369892 |
|---|---|
| LBN Legal business name | Funderburk, Charles Harwood |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Aug 9th, 2019 - about 7 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 | 1558369892 | NPPES |
| Oklahoma | Other | 200040194 | RAILROAD MEDICARE |
| Oklahoma | MEDICAID | 100034390A | RAILROAD MEDICARE |
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