Provider Demographics
NPI:1619708542
Name:MUN TRADE LLC
Entity type:Organization
Organization Name:MUN TRADE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YEVHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:689-255-4915
Mailing Address - Street 1:100 HAMPDEN DR APT D
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-5467
Mailing Address - Country:US
Mailing Address - Phone:689-255-4915
Mailing Address - Fax:
Practice Address - Street 1:100 HAMPDEN DR APT D
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5467
Practice Address - Country:US
Practice Address - Phone:689-255-4915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)