Funke, Anthony L

Funke, Anthony L is an individual health care provider with primary practice located at 3700 Washington Ave St Marys Medical Center Anesthesia Dept, Evansville IN 47750. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Funke, Anthony L can be contacted via phone (812) 485-4000.

Contact Information

Primary practice address
3700 Washington Ave St Marys Medical Center Anesthesia Dept Evansville IN 47750
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01034580A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01034580A Indiana

Profile Details

NPI number 1346286416
LBN Legal business name Funke, Anthony L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated May 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346286416 NPPES
Indiana MEDICAID 100341680
Indiana Other 000000040940
Indiana Other 050012748
Indiana MEDICAID 64872799

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