Funk, Katherine
Funk, Katherine is an sole proprietor health care provider with primary practice located at 306 Holton Ave , Yakima WA 98902-3208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Funk, Katherine can be contacted via phone (509) 453-1606.Contact Information
Primary practice address
306 Holton Ave
Yakima WA 98902-3208
Phone: (509) 453-1606
Fax: (509) 453-5321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00020693 | Washington |
Profile Details
| NPI number | 1093718843 |
|---|---|
| LBN Legal business name | Funk, Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Jun 2nd, 2008 - about 18 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 | 1093718843 | NPPES |
| Washington | Other | 60025 | GROUP HEALTH WA PROVIDER |
| Washington | Other | 91-149-2005 | GROUP HEALTH WA PROVIDER |
| Washington | MEDICAID | 105 8270 | GROUP HEALTH WA PROVIDER |
| Washington | Other | 601-265-836 | GROUP HEALTH WA PROVIDER |
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