Funk, Gerry F

Funk, Gerry F is an individual health care provider with primary practice located at 710 Sunset Dr Ste F , La Grande OR 97850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Funk, Gerry F can be contacted via phone (541) 663-3100.

Contact Information

Primary practice address
710 Sunset Dr Ste F La Grande OR 97850
Phone: (541) 663-3100
Fax: (541) 975-5135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 28198 Iowa
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD167147 Oregon

Profile Details

NPI number 1467443515
LBN Legal business name Funk, Gerry F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 24th, 2018 - about 8 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 1467443515 NPPES
Iowa Other 04045 WELLMARK BCBS
Iowa MEDICAID 0073114 WELLMARK BCBS

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