Funderburk, Philip Burton
Funderburk, Philip Burton is an individual health care provider with primary practice located at 7749 Matthews Mint Hill Rd , Mint Hill NC 28227-7598. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Funderburk, Philip Burton can be contacted via phone (704) 545-9797.Contact Information
Primary practice address
7749 Matthews Mint Hill Rd
Mint Hill NC 28227-7598
Phone: (704) 545-9797
Fax: (704) 545-3111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 922 | North Carolina |
Profile Details
| NPI number | 1093830135 |
|---|---|
| LBN Legal business name | Funderburk, Philip Burton |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Nov 14th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093830135 | NPPES |
| North Carolina | MEDICAID | 8909297 |
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