Funk, Jonathan Roy
Funk, Jonathan Roy is an individual health care provider with primary practice located at 970 E Washington St #5F, Medina OH 44256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Funk, Jonathan Roy can be contacted via phone (330) 725-5282.Contact Information
Primary practice address
970 E Washington St #5F
Medina OH 44256
Phone: (330) 725-5282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35062239 | Ohio |
Profile Details
| NPI number | 1184776791 |
|---|---|
| LBN Legal business name | Funk, Jonathan Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Nov 23rd, 2011 - about 15 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 | 1184776791 | NPPES |
| Ohio | MEDICAID | 0986803 |
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