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Contact Information

TENEIKA C FUNDERBURK
6033 FLORENCE AVE STE 200
CHARLOTTE, NC28212
 Phone: 980-430-5055
 Fax: 704-749-8652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
 

Attendant Care Provider

3747A0650X
 

Nurse's Aide

376K00000X
Indicates primary specialty

NPI Profile & details for TENEIKA C FUNDERBURK · (Female)

NPI Number 1770781098
Status Active
Credentials
Entity Individual
Enumeration date 07/08/2007
Last updated 01/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 329836
  • NC License # HC3403
  • NC Medicaid 6601520
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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