Funk, Jean A

Funk, Jean A is an individual health care provider with primary practice located at 188 W Hebble Ave , Fairborn OH 45324-4960. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Funk, Jean A can be contacted via phone (937) 791-1440.

Contact Information

Primary practice address
188 W Hebble Ave Fairborn OH 45324-4960
Phone: (937) 791-1440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S0028716 Ohio

Profile Details

NPI number 1760604094
LBN Legal business name Funk, Jean A
Credentials BSW LSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Mar 1st, 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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