Provider Demographics
NPI:1710926829
Name:MURPHY, ROBERT M (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:MURPHY
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 1:3725 CLEVELAND MASSILLON RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:NORTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-5614
Mailing Address - Country:US
Mailing Address - Phone:330-825-5502
Mailing Address - Fax:330-825-9446
Practice Address - Street 1:3725 CLEVELAND MASSILLON RD
Practice Address - Street 2:SUITE 8
Practice Address - City:NORTON
Practice Address - State:OH
Practice Address - Zip Code:44203-5614
Practice Address - Country:US
Practice Address - Phone:330-825-5502
Practice Address - Fax:330-825-9446
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3164111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGMedicare ID - Type Unspecified