Munch, Larry Croft
Munch, Larry Croft is an individual health care provider with primary practice located at 2750 Broadway St , Boulder CO 80304-3573. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Munch, Larry Croft can be contacted via phone (303) 440-3093.Contact Information
Primary practice address
2750 Broadway St
Boulder CO 80304-3573
Phone: (303) 440-3093
Fax: (303) 440-3161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01055149A | Indiana |
Profile Details
| NPI number | 1205836889 |
|---|---|
| LBN Legal business name | Munch, Larry Croft |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Mar 31st, 2021 - about 5 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 | 1205836889 | NPPES |
| Indiana | MEDICAID | 200333830A |
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