Funk, Brandon Scott

Funk, Brandon Scott is an individual health care provider with primary practice located at 2017 W I 35 Frontage Rd Ste 250 , Edmond OK 73013-8561. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Funk, Brandon Scott can be contacted via phone (405) 757-3340.

Contact Information

Primary practice address
2017 W I 35 Frontage Rd Ste 250 Edmond OK 73013-8561
Phone: (405) 757-3340
Fax: (405) 757-3520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17988 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1465 Oklahoma

Profile Details

NPI number 1396785390
LBN Legal business name Funk, Brandon Scott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Sep 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396785390 NPPES
Oklahoma MEDICAID 200201770A

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