Funderburg, Jacqueline Rena
Funderburg, Jacqueline Rena is an individual health care provider with primary practice located at 32100 Telegraph Rd Ste 205 , Bingham Farms MI 48025-2454. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Funderburg, Jacqueline Rena can be contacted via phone (248) 712-4266.Contact Information
Primary practice address
32100 Telegraph Rd Ste 205
Bingham Farms MI 48025-2454
Phone: (248) 712-4266
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X |
Profile Details
| NPI number | 1033624424 |
|---|---|
| LBN Legal business name | Funderburg, Jacqueline Rena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2017 |
| Last updated | Dec 6th, 2017 - about 7 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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