JACQUELINE RENA FUNDERBURG
NPI 1033624424
Technician/Technologist in Bingham Farms, MI

Q: What is Jacqueline Funderburg's NPI number?

The NPI number for Jacqueline Funderburg is 1033624424. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Q: What is Jacqueline Funderburg's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

Active since December 06, 2017

32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025(248) 712-4266 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline Rena Funderburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE RENA FUNDERBURG (NPI 1033624424) is an individual technician/technologist in Bingham Farms, Michigan and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1033624424

Entity TypeIndividualFemale

Primary Taxonomy156F00000X

Provider Legal NameJACQUELINE RENA FUNDERBURG

Location Address32100 TELEGRAPH RD STE 205Bingham Farms, MI 48025-2454

Mailing Address32100 Telegraph Rd Ste 205Bingham Farms, MI 48025-2454 · (248) 712-4266

Phone(248) 712-4266

Sole ProprietorNo

Enumeration DateDecember 6, 2017

✔ NPI 1033624424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers

Taxonomy Code156F00000X

Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

32100 TELEGRAPH RD STE 205, Bingham Farms, MI 48025

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA L LAKE

Technician/Technologist