Funk, David R
Funk, David R is an individual health care provider with primary practice located at 264 E Broad St , Bethlehem PA 18018-6224. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Funk, David R can be contacted via phone (610) 866-9311.Contact Information
Primary practice address
264 E Broad St
Bethlehem PA 18018-6224
Phone: (610) 866-9311
Fax: (610) 882-2072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS006886L | Pennsylvania |
Profile Details
| NPI number | 1902894124 |
|---|---|
| LBN Legal business name | Funk, David R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Oct 15th, 2009 - about 17 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 | 1902894124 | NPPES |
| Pennsylvania | Other | 680012420 | RAIL ROAD MEDICARE |
| Pennsylvania | Other | 276935000 | RAIL ROAD MEDICARE |
| Pennsylvania | Other | 7497155 | RAIL ROAD MEDICARE |
| Pennsylvania | Other | 02056702 | RAIL ROAD MEDICARE |
| Pennsylvania | Other | 0523970000 | RAIL ROAD MEDICARE |
| Pennsylvania | Other | 708295 | RAIL ROAD MEDICARE |
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