Funke, Bryan J
Funke, Bryan J is an individual health care provider with primary practice located at 420 Polifka Dr Bldg 1042 , Shaw Afb SC 29152-5100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Funke, Bryan J can be contacted via phone (803) 895-6746.Contact Information
Primary practice address
420 Polifka Dr Bldg 1042
Shaw Afb SC 29152-5100
Phone: (803) 895-6746
Fax: (803) 895-6746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | MD31441 | South Carolina |
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | MD31441 | South Carolina |
Profile Details
| NPI number | 1629055298 |
|---|---|
| LBN Legal business name | Funke, Bryan J |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Jan 25th, 2023 - about 3 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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