Provider Demographics
NPI:1457973844
Name:OPTIMUM HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:OPTIMUM HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BLAIR
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:989-448-8482
Mailing Address - Street 1:PO BOX 1465
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49734-5465
Mailing Address - Country:US
Mailing Address - Phone:989-448-8482
Mailing Address - Fax:
Practice Address - Street 1:2281 S OTSEGO AVE
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-9419
Practice Address - Country:US
Practice Address - Phone:989-448-8482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-08
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty