Funk, Patricia Ann

Funk, Patricia Ann is an sole proprietor health care provider with primary practice located at 9015 172Nd Ave Ne , Redmond WA 98052-3210. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Funk, Patricia Ann can be contacted via phone (425) 422-7199.

Contact Information

Primary practice address
9015 172Nd Ave Ne Redmond WA 98052-3210
Fax: (425) 869-7674
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH00001131 Washington

Profile Details

NPI number 1164620407
LBN Legal business name Funk, Patricia Ann
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164620407 NPPES
Washington MEDICAID 5902036

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