Funke, Ida Marielke
Funke, Ida Marielke is an individual health care provider with primary practice located at 1111 Crater Lake Ave , Medford OR 97504-6241. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Funke, Ida Marielke can be contacted via phone (541) 732-5028.Contact Information
Primary practice address
1111 Crater Lake Ave
Medford OR 97504-6241
Phone: (541) 732-5028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 02851 | Oregon |
Profile Details
| NPI number | 1851872428 |
|---|---|
| LBN Legal business name | Funke, Ida Marielke |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2018 |
| Last updated | Aug 22nd, 2018 - about 6 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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