Funderburk, Charles Harwood

Funderburk, Charles Harwood is an individual health care provider with primary practice located at 9600 Broadway Ext , Oklahoma City OK 73114. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Funderburk, Charles Harwood can be contacted via phone (405) 230-9000.

Contact Information

Primary practice address
9600 Broadway Ext Oklahoma City OK 73114
Phone: (405) 230-9000
Fax: (405) 230-9157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 17610 Oklahoma
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 17610 Oklahoma
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 17610 Oklahoma

Profile Details

NPI number 1558369892
LBN Legal business name Funderburk, Charles Harwood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Aug 9th, 2019 - about 5 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 1558369892 NPPES
Oklahoma Other 200040194 RAILROAD MEDICARE
Oklahoma MEDICAID 100034390A RAILROAD MEDICARE

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