Individual
DR. CALVIN A. FUNKHOUSER
Active
Individual
DR. CALVIN A. FUNKHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102208416
VA
363A00000X
Physician Assistant
0110001910
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116035964
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010117801
—
VA
01
—
P00263494
RAILROAD MEDICARE
VA
Enumeration date
04/28/2006
Last updated
08/13/2026
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