Funkhouser, Calvin A.

Funkhouser, Calvin A. is an individual health care provider with primary practice located at 500 J Clyde Morris Blvd Dept Of , Newport News VA 23601-1929. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Funkhouser, Calvin A. can be contacted via phone (757) 612-7200.

Contact Information

Primary practice address
500 J Clyde Morris Blvd Dept Of Newport News VA 23601-1929
Phone: (757) 612-7200
Fax: (757) 594-3184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001910 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116035964 Virginia

Profile Details

NPI number 1417914789
LBN Legal business name Funkhouser, Calvin A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417914789 NPPES
Virginia MEDICAID 010117801
Virginia Other P00263494

Popular Providers