Provider Demographics
NPI:1083890842
Name:MURPHY CHIROPRACTIC HEALTH CENTER
Entity Type:Organization
Organization Name:MURPHY CHIROPRACTIC HEALTH CENTER
Other - Org Name:MURPHY CHIROPRACTIC CENTER PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-221-1075
Mailing Address - Street 1:400 MARK TWAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-3249
Mailing Address - Country:US
Mailing Address - Phone:573-221-1075
Mailing Address - Fax:573-221-1433
Practice Address - Street 1:400 MARK TWAIN AVE
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401-3249
Practice Address - Country:US
Practice Address - Phone:573-221-1075
Practice Address - Fax:573-221-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000015599OtherGROUP PTAN
MO304305599Medicare PIN