Funk, Jan J

Funk, Jan J is an individual health care provider with primary practice located at 730 Fairview Ave Ste A8 , Bowling Green KY 42101-2383. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Funk, Jan J can be contacted via phone (270) 796-2550.

Contact Information

Primary practice address
730 Fairview Ave Ste A8 Bowling Green KY 42101-2383
Phone: (270) 796-2550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 3007542 Kentucky

Profile Details

NPI number 1508973439
LBN Legal business name Funk, Jan J
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Aug 9th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508973439 NPPES
Maine MEDICAID 289840099

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