Funyak, Kirstie Ellen
Funyak, Kirstie Ellen is an individual health care provider with primary practice located at 3824 Northern Pike Ste 525 , Monroeville PA 15146-2177. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Funyak, Kirstie Ellen can be contacted via phone (412) 373-6666.Contact Information
Primary practice address
3824 Northern Pike Ste 525
Monroeville PA 15146-2177
Phone: (412) 373-6666
Fax: (412) 373-4595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA057875 | Pennsylvania |
Profile Details
| NPI number | 1568831477 |
|---|---|
| LBN Legal business name | Funyak, Kirstie Ellen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2015 |
| Last updated | Nov 5th, 2024 - about 2 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 | 1568831477 | NPPES |
| Pennsylvania | MEDICAID | 103404788 | |
| Pennsylvania | Other | 2S7140 |
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