Provider Demographics
NPI:1740289198
Name:MURPHY, JAN MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:JAN
Middle Name:MARIE
Last Name:MURPHY
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 1:9401 TOLEDO AVE S
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-2081
Mailing Address - Country:US
Mailing Address - Phone:952-831-1495
Mailing Address - Fax:952-831-1495
Practice Address - Street 1:11500 HIGHWAY 7
Practice Address - Street 2:STE 201
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-5101
Practice Address - Country:US
Practice Address - Phone:952-933-6805
Practice Address - Fax:952-831-1495
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1663111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN13365MUOtherBCBS
MNON312MUOtherBCBS
MNON312MUOtherBCBS