Provider Demographics
NPI:1275620940
Name:MURPHY, TERRENCE DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:DANIEL
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 1:8589 S MASON MONTGOMERY RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9250
Mailing Address - Country:US
Mailing Address - Phone:513-398-6452
Mailing Address - Fax:513-398-0152
Practice Address - Street 1:8589 S MASON MONTGOMERY RD
Practice Address - Street 2:SUITE 11
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9250
Practice Address - Country:US
Practice Address - Phone:513-398-6452
Practice Address - Fax:513-398-0152
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4169982Medicare PIN
V06766Medicare UPIN