JEREMY MEDLIN FUNDERBURK NPI 1598426066

NPI Information

NPI: 1598426066
Provider Name: JEREMY MEDLIN FUNDERBURK
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Individual

Specialization: Customized Equipment

Address:
350 LANGDON RD
EVINGTON, VA
ZIP 24550
Phone: (434) 941-7015
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Jeremy Medlin Funderburk is a customized equipment durable medical equipment medical supplies in Evington, VA. Jeremy Medlin Funderburk NPI is 1598426066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

350 LANGDON RD
EVINGTON, VA
ZIP 24550-299
Phone: (434) 941-7015

The enumeration date for this NPI number is 1/6/2022 and was last updated on 1/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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