Provider Demographics
NPI:1326035254
Name:MURRAY, PATRICK E (DC)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:E
Last Name:MURRAY
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 1:812 ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-6364
Mailing Address - Country:US
Mailing Address - Phone:620-343-1616
Mailing Address - Fax:620-343-2796
Practice Address - Street 1:603 WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:LYNDON
Practice Address - State:KS
Practice Address - Zip Code:66451
Practice Address - Country:US
Practice Address - Phone:785-808-3320
Practice Address - Fax:785-828-4807
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
350053616Medicare ID - Type UnspecifiedRAILROAD MEDICARE
KS060913Medicare ID - Type Unspecified
KS060921Medicare ID - Type Unspecified
T43888Medicare UPIN