Provider Demographics
NPI:1023186228
Name:MURPHY, MELISSA BETH (DC,)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:BETH
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 PRAIRIE GRASS RD
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:WI
Mailing Address - Zip Code:53575-3877
Mailing Address - Country:US
Mailing Address - Phone:608-835-0656
Mailing Address - Fax:
Practice Address - Street 1:5708 MONONA DR
Practice Address - Street 2:SUITE C
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-3152
Practice Address - Country:US
Practice Address - Phone:608-663-8809
Practice Address - Fax:608-663-8812
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3722-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38948800Medicaid
WIU84676Medicare UPIN
WI38948800Medicaid