Funderburg, Linda G
Funderburg, Linda G is an individual health care provider with primary practice located at 144 Stony Point Rd , Santa Rosa CA 95401-4122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Funderburg, Linda G can be contacted via phone (707) 521-4550.Contact Information
Primary practice address
144 Stony Point Rd
Santa Rosa CA 95401-4122
Phone: (707) 521-4550
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C156477 | California |
Profile Details
NPI number | 1164489571 |
---|---|
LBN Legal business name | Funderburg, Linda G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 28th, 2006 |
Last updated | May 1st, 2024 - about 7 months 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 | 1164489571 | NPPES |
Texas | MEDICAID | 127523207 | |
Texas | Other | 8U9621 |
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