Provider Demographics
NPI:1275732828
Name:MURVICH CHIROPRACTIC
Entity Type:Organization
Organization Name:MURVICH CHIROPRACTIC
Other - Org Name:SPINAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MURVICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:906-563-5871
Mailing Address - Street 1:PO BOX 143
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:MI
Mailing Address - Zip Code:49870-0143
Mailing Address - Country:US
Mailing Address - Phone:906-563-5871
Mailing Address - Fax:
Practice Address - Street 1:415 W US HIGHWAY 2
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:MI
Practice Address - Zip Code:49870-1175
Practice Address - Country:US
Practice Address - Phone:906-563-5871
Practice Address - Fax:906-563-5969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDM007809111N00000X
MI6379800001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0B20025OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI0B21044OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI6379800001Medicare NSC
MI0B20025OtherBLUE CROSS BLUE SHIELD OF MICHIGAN