Provider Demographics
NPI:1528187333
Name:MURPHY CHIROPRACTIC SERVICES INC
Entity Type:Organization
Organization Name:MURPHY CHIROPRACTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-753-3346
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:902 E VINE ST
Mailing Address - City:FORT BRANCH
Mailing Address - State:IN
Mailing Address - Zip Code:47648
Mailing Address - Country:US
Mailing Address - Phone:812-753-3346
Mailing Address - Fax:812-753-3544
Practice Address - Street 1:902 E VINE ST
Practice Address - Street 2:
Practice Address - City:FORT BRANCH
Practice Address - State:IN
Practice Address - Zip Code:47648
Practice Address - Country:US
Practice Address - Phone:812-753-3346
Practice Address - Fax:812-753-3544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001547111N00000X
IN08001472111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000185314OtherBLUE CROSS BLUE SHIELD
IN200014270AMedicaid
IN000000185314OtherBLUE CROSS BLUE SHIELD
IN281680Medicare PIN