Funkquist, Maria

Funkquist, Maria is an individual health care provider with primary practice located at 215 Washington St , West Warwick RI 02893-5017. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Funkquist, Maria can be contacted via phone (401) 822-1360.

Contact Information

Primary practice address
215 Washington St West Warwick RI 02893-5017
Phone: (401) 822-1360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01475 Rhode Island

Profile Details

NPI number 1447317334
LBN Legal business name Funkquist, Maria
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447317334 NPPES
Rhode Island MEDICAID MF47786
Rhode Island Other BLUE CHIP
Rhode Island Other 21668

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