Funk, Jeanne Brockmyer

Funk, Jeanne Brockmyer is an individual health care provider with primary practice located at 2801 West Bancroft Ms 948, Toledo OH 43606-3390. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Funk, Jeanne Brockmyer can be contacted via phone (419) 530-4392.

Contact Information

Primary practice address
2801 West Bancroft Ms 948 Toledo OH 43606-3390
Phone: (419) 530-4392
Fax: (419) 530-4392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2732 Ohio
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2732 Ohio

Profile Details

NPI number 1588604847
LBN Legal business name Funk, Jeanne Brockmyer
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1588604847 NPPES
Ohio MEDICAID 0394747

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