Funk, Cody

Funk, Cody is an individual health care provider with primary practice located at 2902 Seaport Dr , Lewiston ID 83501-8619. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Funk, Cody can be contacted via phone (208) 852-6705.

Contact Information

Primary practice address
2902 Seaport Dr Lewiston ID 83501-8619
Phone: (208) 852-6705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2070 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 60976943 Washington

Profile Details

NPI number 1689388944
LBN Legal business name Funk, Cody
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2023
Last updated Jan 11th, 2023 - about 2 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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