Provider Demographics
NPI:1043209802
Name:MURPHY, LORETTA (DC)
Entity Type:Individual
Prefix:DR
First Name:LORETTA
Middle Name:
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 1:801 CRESCENT WAY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-6781
Mailing Address - Country:US
Mailing Address - Phone:707-822-5900
Mailing Address - Fax:707-822-4190
Practice Address - Street 1:801 CRESCENT WAY
Practice Address - Street 2:SUITE 4
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-6781
Practice Address - Country:US
Practice Address - Phone:707-822-5900
Practice Address - Fax:707-822-4190
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22093111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U35421Medicare UPIN
DC0220930Medicare ID - Type Unspecified