Funkhouser, John Christopher
Funkhouser, John Christopher is an individual health care provider with primary practice located at 286 Calhoun Station Parkway , Madison MS 39110. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Funkhouser, John Christopher can be contacted via phone (601) 200-4321.Contact Information
Primary practice address
286 Calhoun Station Parkway
Madison MS 39110
Phone: (601) 200-4321
Fax: (601) 859-0159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R859048 | Mississippi |
Profile Details
| NPI number | 1821292046 |
|---|---|
| LBN Legal business name | Funkhouser, John Christopher |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Aug 22nd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821292046 | NPPES |
| Mississippi | MEDICAID | 02300532 | |
| Mississippi | Other | P00739236 |
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