Munk, Roger
Munk, Roger is an individual health care provider with primary practice located at 90 Market St Ste 20, Lebanon OR 97355-2396. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Munk, Roger can be contacted via phone (541) 451-1144.Contact Information
Primary practice address
90 Market St Ste 20
Lebanon OR 97355-2396
Phone: (541) 451-1144
Fax: (541) 451-1785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3080ATI | Oregon |
Profile Details
| NPI number | 1316940281 |
|---|---|
| LBN Legal business name | Munk, Roger |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jun 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316940281 | NPPES |
| Oregon | MEDICAID | 128772 |
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