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Contact Information

JANICE FUNK, PhD
76 SUMMER ST
HAVERHILL, MA01830-5814
 Phone: 978-469-1438
 Fax: 978-372-0404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for JANICE FUNK · (Female)

NPI # 1548261621
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/10/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 6540
  • MA Medicaid 0525677
  • MA Other W05327 BLUE SHIELD MA
  • MA Other 771888 TUFTS
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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