Provider Demographics
NPI:1497030217
Name:ROBERT M. MURPHY ND
Entity Type:Organization
Organization Name:ROBERT M. MURPHY ND
Other - Org Name:NORTHWEST HOLISTIC HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:860-482-4730
Mailing Address - Street 1:21 PROSPECT STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-6359
Mailing Address - Country:US
Mailing Address - Phone:860-482-4730
Mailing Address - Fax:860-482-9034
Practice Address - Street 1:21 PROSPECT STREET
Practice Address - Street 2:SUITE A
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6359
Practice Address - Country:US
Practice Address - Phone:860-482-4730
Practice Address - Fax:860-482-9034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty