Funk, Dory B

Funk, Dory B is an individual health care provider with primary practice located at 1450 Burgess St , Delta CO 81416-2849. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Funk, Dory B can be contacted via phone (970) 874-7668.

Contact Information

Primary practice address
1450 Burgess St Delta CO 81416-2849
Phone: (970) 874-7668
Fax: (970) 874-0708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32321 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32321 Colorado

Profile Details

NPI number 1326179680
LBN Legal business name Funk, Dory B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Sep 27th, 2021 - about 4 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 1326179680 NPPES
Colorado MEDICAID 01323211

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