Funk, Michelle

Funk, Michelle is an sole proprietor health care provider with primary practice located at 913 S Westhill Ct , Bloomington IN 47403-2119. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Funk, Michelle can be contacted via phone (812) 336-8121.

Contact Information

Primary practice address
913 S Westhill Ct Bloomington IN 47403-2119
Phone: (812) 336-8121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 28169537A Indiana

Profile Details

NPI number 1881035632
LBN Legal business name Funk, Michelle
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2013
Last updated Jul 9th, 2013 - about 11 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 1881035632 NPPES
Indiana Other 28169537A INDIANA STATE BOARD OF NURSING LICENSE

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