Provider Demographics
NPI:1659518603
Name:MURPHY CHIROPRACTIC, PLC.
Entity Type:Organization
Organization Name:MURPHY CHIROPRACTIC, PLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DUSTINE
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:231-929-3253
Mailing Address - Street 1:2044 S AIRPORT RD W
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-4711
Mailing Address - Country:US
Mailing Address - Phone:231-929-3253
Mailing Address - Fax:231-929-3261
Practice Address - Street 1:2044 S AIRPORT RD W
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-4711
Practice Address - Country:US
Practice Address - Phone:231-929-3253
Practice Address - Fax:231-929-3261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty