Provider Demographics
NPI:1851780225
Name:MURPHY, ISAAC (DC)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:
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 1:12897 STATE HIGHWAY 96
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MO
Mailing Address - Zip Code:64836-8588
Mailing Address - Country:US
Mailing Address - Phone:417-529-1915
Mailing Address - Fax:417-358-7831
Practice Address - Street 1:12897 STATE HIGHWAY 96
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MO
Practice Address - Zip Code:64836-8588
Practice Address - Country:US
Practice Address - Phone:417-529-1915
Practice Address - Fax:417-358-7831
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015001406111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor