Funk, Wendell Lavern

Funk, Wendell Lavern is an sole proprietor health care provider with primary practice located at 230 Harrisburg Ave Suite 7, Lancaster PA 17603-2959. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as his primary health care specialty. Funk, Wendell Lavern can be contacted via phone (717) 299-9551.

Contact Information

Primary practice address
230 Harrisburg Ave Suite 7 Lancaster PA 17603-2959
Phone: (717) 299-9551
Fax: (717) 399-9266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X MD019811-E Pennsylvania

Profile Details

NPI number 1326151499
LBN Legal business name Funk, Wendell Lavern
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 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 1326151499 NPPES
Pennsylvania MEDICAID 0812284

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