Funke, Brocton

Funke, Brocton is an individual health care provider with primary practice located at 333 Dexter Ter , Tonawanda NY 14150-4747. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Funke, Brocton can be contacted via phone (716) 961-4050.

Contact Information

Primary practice address
333 Dexter Ter Tonawanda NY 14150-4747
Phone: (716) 961-4050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 1264947181 New York

Profile Details

NPI number 1316421654
LBN Legal business name Funke, Brocton
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2018
Last updated Sep 22nd, 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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