Funk, Mark
Funk, Mark is an individual health care provider with primary practice located at 149 Emerald St , Keene NH 03431-3611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Funk, Mark can be contacted via phone (603) 354-5454.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 7270 | New Hampshire |
Profile Details
| NPI number | 1144309162 |
|---|---|
| LBN Legal business name | Funk, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Mar 22nd, 2012 - about 12 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 | 1144309162 | NPPES |
| New Hampshire | MEDICAID | 30001358 |
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