1982821252 NPI number — ROBERT F. MUNSCH, M.D. P.C.

Table of content: (NPI 1982821252)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982821252 NPI number — ROBERT F. MUNSCH, M.D. P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT F. MUNSCH, M.D. P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982821252
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 NORTHPORT PLZ
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HANNIBAL
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63401-2269
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
573-221-7999
Provider Business Mailing Address Fax Number:
573-221-6052

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 NORTHPORT PLZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HANNIBAL
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63401-2269
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-221-7999
Provider Business Practice Location Address Fax Number:
573-221-6052
Provider Enumeration Date:
04/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TURNER
Authorized Official First Name:
ANN
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
573-221-7999

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1245285543 . This is a "GROUP NPI" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: MDR8745 . This is a "MO LICENSE NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 1326087602 . This is a "INDIVUAL NPI OF PHYSICIAN" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 1962441220 . This is a "INDIVUAL NPI PHYSICAIN" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: TO3361 . This is a "MISSOURI LICENSE" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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