Munch, Dorothy M

Munch, Dorothy M is an individual health care provider with primary practice located at 930 N Westwood Blvd , Poplar Bluff MO 63901-4242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Munch, Dorothy M can be contacted via phone (573) 778-1620.

Contact Information

Primary practice address
930 N Westwood Blvd Poplar Bluff MO 63901-4242
Phone: (573) 778-1620
Fax: (573) 778-1486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36720 Missouri

Profile Details

NPI number 1922003276
LBN Legal business name Munch, Dorothy M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 9th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922003276 NPPES
Missouri Other 460494181 TAX IDENTIFICATION NUMBER
Missouri MEDICAID 242613073 TAX IDENTIFICATION NUMBER
Missouri Other 164653 TAX IDENTIFICATION NUMBER
Missouri Other 915331 TAX IDENTIFICATION NUMBER
Missouri Other 1922003276 TAX IDENTIFICATION NUMBER
Missouri MEDICAID 242613081 TAX IDENTIFICATION NUMBER
Missouri Other 000000E14668 TAX IDENTIFICATION NUMBER
Missouri Other 26D1003101 TAX IDENTIFICATION NUMBER

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