Provider Demographics
NPI:1386681765
Name:MURZYN, JENNIFER LYNN (DC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN
Last Name:MURZYN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 WHARTON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1738
Mailing Address - Country:US
Mailing Address - Phone:412-337-1478
Mailing Address - Fax:
Practice Address - Street 1:4709 WALNUT ST
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-6236
Practice Address - Country:US
Practice Address - Phone:412-337-1478
Practice Address - Fax:412-751-7495
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008-008L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00919238OtherBLUECROSS/BLUE SHIELD
PA1026600OtherHEALTH AMERICA/ASSURANCE
PA11495082OtherCAQH
PA11495082OtherCAQH