Funk, Michael Eugene

Funk, Michael Eugene is an individual health care provider with primary practice located at 2359 Oregon Pike Ste 102 , Lancaster PA 17601. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Funk, Michael Eugene can be contacted via phone (717) 394-3592.

Contact Information

Primary practice address
2359 Oregon Pike Ste 102 Lancaster PA 17601
Fax: (717) 394-5988
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS030952L Pennsylvania

Profile Details

NPI number 1073665741
LBN Legal business name Funk, Michael Eugene
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jun 12th, 2018 - about 7 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 1073665741 NPPES
Pennsylvania Other DS030952L LICENSE

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