Funderburk, Jake
Funderburk, Jake is an sole proprietor health care provider with primary practice located at 1243 S 74Th East Ave , Tulsa OK 74112-6717. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Funderburk, Jake can be contacted via phone (318) 423-5431.Contact Information
Primary practice address
1243 S 74Th East Ave
Tulsa OK 74112-6717
Phone: (318) 423-5431
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | L083484046 | Oklahoma |
Profile Details
NPI number | 1861233918 |
---|---|
LBN Legal business name | Funderburk, Jake |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 3rd, 2024 |
Last updated | Jun 3rd, 2024 - about 5 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.
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