1669436432 NPI number — DR. THOMAS EDWARD MUNSHOWER D.O.

Table of content: DR. THOMAS EDWARD MUNSHOWER D.O. (NPI 1669436432)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669436432 NPI number — DR. THOMAS EDWARD MUNSHOWER D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MUNSHOWER
Provider First Name:
THOMAS
Provider Middle Name:
EDWARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

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:
1669436432
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 550 ROUTE 209
Provider Second Line Business Mailing Address:
HARLEYSVILLE NATIONAL BANK
Provider Business Mailing Address City Name:
KRESGEVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18333-0550
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-681-6800
Provider Business Mailing Address Fax Number:
610-681-6825

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ROUTE 209
Provider Second Line Business Practice Location Address:
HARLEYSVILLE NATIONAL BANK BUILDING
Provider Business Practice Location Address City Name:
KRESGEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-681-6800
Provider Business Practice Location Address Fax Number:
610-681-6825
Provider Enumeration Date:
04/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  OS-007201-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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