Funk, Lee W
Funk, Lee W is an sole proprietor health care provider with primary practice located at 1511 Us Highway 1 Suite 203, Sebastian FL 32958-1611. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Funk, Lee W can be contacted via phone (772) 581-3773.Contact Information
Primary practice address
1511 Us Highway 1 Suite 203
Sebastian FL 32958-1611
Phone: (772) 581-3773
Fax: (772) 581-3746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH0006567 | Florida |
Profile Details
| NPI number | 1396917738 |
|---|---|
| LBN Legal business name | Funk, Lee W |
| Credentials | DC, CCEP, AP, DOM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2008 |
| Last updated | Mar 26th, 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 | 1396917738 | NPPES |
| Florida | Other | 22945 | BLUE CROSS BLUE SHIELD |
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