Provider Demographics
NPI:1245432681
Name:TERRENCE MURPHY PA
Entity Type:Organization
Organization Name:TERRENCE MURPHY PA
Other - Org Name:CHIROPRACTIC HEALTH AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:320-251-4848
Mailing Address - Street 1:606 25TH AVENUE SOUTH
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ST. CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301
Mailing Address - Country:US
Mailing Address - Phone:320-251-4848
Mailing Address - Fax:320-251-4661
Practice Address - Street 1:606 25TH AVENUE SOUTH
Practice Address - Street 2:SUITE 102
Practice Address - City:ST. CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301
Practice Address - Country:US
Practice Address - Phone:320-251-4848
Practice Address - Fax:320-251-4661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3517111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN587G1CHOtherBLUE CROSS BLUE SHIELD
MN4485584OtherMEDICA
MN54196OtherHEALTH PARTNERS
MNC04582Medicare ID - Type UnspecifiedGROUP NUMBER
MN4485584OtherMEDICA