Funk, Dale A

Funk, Dale A is an individual health care provider with primary practice located at 2074 Antilley Rd , Abilene TX 79606-5209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Funk, Dale A can be contacted via phone (325) 698-3865.

Contact Information

Primary practice address
2074 Antilley Rd Abilene TX 79606-5209
Phone: (325) 698-3865
Fax: (325) 793-1295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X J4131 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X J4131 Texas

Profile Details

NPI number 1639122179
LBN Legal business name Funk, Dale A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 8th, 2023 - about last year

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 1639122179 NPPES
Texas Other 8M2570 BCBS - INDIVIDUAL
Texas Other 113150103 BCBS - INDIVIDUAL
Texas Other 113150103 BCBS - INDIVIDUAL
Texas MEDICAID 131880007 BCBS - INDIVIDUAL

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