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Contact Information

MARSHALL V MUNCH, OD
175 SHINN LN
HANNIBAL, MO63401
 Phone: 573-248-0008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARSHALL V MUNCH · (Male)

NPI # 1962441220
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/05/2006
Last updated 05/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # T03361
  • MO License # TO3361
  • MO Medicaid 318910718
  • MO Other 990000642 MEDICARE GROUP
  • MO Other 1245285543 MEDICARE GROUP NPI
  • MO Other 134570018 MEDICARE PTAN FOR QMG
  • MO Other 410045181 RAILROAD MEDICARE
  • MO Other CI3223 RAILROAD MEDICARE GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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