Funk, David R

Funk, David R is an individual health care provider with primary practice located at 264 E Broad St , Bethlehem PA 18018-6224. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Funk, David R can be contacted via phone (610) 866-9311.

Contact Information

Primary practice address
264 E Broad St Bethlehem PA 18018-6224
Phone: (610) 866-9311
Fax: (610) 882-2072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS006886L Pennsylvania

Profile Details

NPI number 1902894124
LBN Legal business name Funk, David R
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Oct 15th, 2009 - about 16 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 1902894124 NPPES
Pennsylvania Other 680012420 RAIL ROAD MEDICARE
Pennsylvania Other 276935000 RAIL ROAD MEDICARE
Pennsylvania Other 7497155 RAIL ROAD MEDICARE
Pennsylvania Other 02056702 RAIL ROAD MEDICARE
Pennsylvania Other 0523970000 RAIL ROAD MEDICARE
Pennsylvania Other 708295 RAIL ROAD MEDICARE

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