Funk, Martin R

Funk, Martin R is an sole proprietor health care provider with primary practice located at 1 E 2Nd St , Chanute KS 66720-2460. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Funk, Martin R can be contacted via phone (620) 431-2300.

Contact Information

Primary practice address
1 E 2Nd St Chanute KS 66720-2460
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1351-3 Kansas

Profile Details

NPI number 1740275452
LBN Legal business name Funk, Martin R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2005
Last updated Feb 22nd, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740275452 NPPES
Kansas MEDICAID 100219180A

Popular Providers