Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GERALD HOWARD FUNKHOUSER JR., CRC CSM
ActiveMR. GERALD HOWARD FUNKHOUSER JR., CRC CSM is a Case Manager healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1366617821 is currently active in the NPPES registry. Verify at CMS.
Case Manager · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1366617821
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2008 (18.328004532784 yrs)
- Last Updated
- Apr 25, 2008
- License
-
908308853 (AR)
Practice Information
- Address
-
1918 N BIRCH AVEFAYETTEVILLE, AR, 727032408Browse AR providers · Browse ZIP 72703
- Phone
- 4794425600
- Fax
- 4794425192
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| AUTUMN SMITH | — | 1972914547 |
| DEVIS LYNNE FRUCHTL | MHPP | 1447318555 |
| MRS. MARISSA JOY MCDONALD | MHPP | 1356463467 |
| REGINA G DAY | BA MHPP | 1215152772 |
| KENT V WEST | MHPP | 1467661728 |
| JOHN B LEWIS | MHPP | 1265641500 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.