Munch, Marshall Vernon

Munch, Marshall Vernon is an individual health care provider with primary practice located at 175 Shinn Ln , Hannibal MO 63401. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Munch, Marshall Vernon can be contacted via phone (573) 248-0008.

Contact Information

Primary practice address
175 Shinn Ln Hannibal MO 63401
Phone: (573) 248-0008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X TO3361 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X T03361 Missouri

Profile Details

NPI number 1962441220
LBN Legal business name Munch, Marshall Vernon
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated May 18th, 2018 - about 6 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 1962441220 NPPES
Missouri Other 134570018 MEDICARE PTAN FOR QMG
Missouri MEDICAID 318910718 MEDICARE PTAN FOR QMG
Missouri Other 410045181 MEDICARE PTAN FOR QMG
Missouri Other 990000642 MEDICARE PTAN FOR QMG
Missouri Other CI3223 MEDICARE PTAN FOR QMG
Missouri Other 1245285543 MEDICARE PTAN FOR QMG

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