Funderburk, Jason Glen

Funderburk, Jason Glen is an individual health care provider with primary practice located at 116 Concord Rd Suite 500, Knoxville TN 37934-2940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Funderburk, Jason Glen can be contacted via phone (865) 777-6880.

Contact Information

Primary practice address
116 Concord Rd Suite 500 Knoxville TN 37934-2940
Phone: (865) 777-6880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME 93065 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 47153 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 4301102162 Michigan

Profile Details

NPI number 1104883966
LBN Legal business name Funderburk, Jason Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 9th, 2014 - about 10 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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