Provider Demographics
NPI:1003682329
Name:MURPHY, MAXWELL EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:MAXWELL
Middle Name:EDWARD
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W MIDDLEFIELD RD APT 12
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-3405
Mailing Address - Country:US
Mailing Address - Phone:860-227-8250
Mailing Address - Fax:
Practice Address - Street 1:525 W REMINGTON DR STE 126
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2459
Practice Address - Country:US
Practice Address - Phone:860-227-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36817111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor