Provider Demographics
NPI:1922089978
Name:MURPHY, ALEX (DC)
Entity Type:Individual
Prefix:
First Name:ALEX
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 1:224 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ODEBOLT
Mailing Address - State:IA
Mailing Address - Zip Code:51458
Mailing Address - Country:US
Mailing Address - Phone:712-668-2397
Mailing Address - Fax:712-668-2399
Practice Address - Street 1:224 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ODEBOLT
Practice Address - State:IA
Practice Address - Zip Code:51458
Practice Address - Country:US
Practice Address - Phone:712-668-2397
Practice Address - Fax:712-668-2399
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06540111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA17838OtherWELLMARK BLUE CROSS
IA0276972Medicaid
IA17838OtherWELLMARK BLUE CROSS
IAU92054Medicare UPIN