Funk, Janice
Funk, Janice is an individual health care provider with primary practice located at 76 Summer St , Haverhill MA 01830-5814. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Funk, Janice can be contacted via phone (978) 469-1438.Contact Information
Primary practice address
76 Summer St
Haverhill MA 01830-5814
Phone: (978) 469-1438
Fax: (978) 372-0404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 6540 | Massachusetts |
Profile Details
| NPI number | 1548261621 |
|---|---|
| LBN Legal business name | Funk, Janice |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1548261621 | NPPES |
| Massachusetts | Other | W05327 | BLUE SHIELD MA |
| Massachusetts | Other | 771888 | BLUE SHIELD MA |
| Massachusetts | MEDICAID | 0525677 | BLUE SHIELD MA |
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