Provider Demographics
NPI:1508927872
Name:MURPHY, PAULA JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:JEAN
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 1:34 E SAN FRANCISCO AVE
Mailing Address - Street 2:
Mailing Address - City:WILLITS
Mailing Address - State:CA
Mailing Address - Zip Code:95490-3957
Mailing Address - Country:US
Mailing Address - Phone:707-456-1030
Mailing Address - Fax:707-456-0255
Practice Address - Street 1:34 E SAN FRANCISCO AVE
Practice Address - Street 2:
Practice Address - City:WILLITS
Practice Address - State:CA
Practice Address - Zip Code:95490-3957
Practice Address - Country:US
Practice Address - Phone:707-456-1030
Practice Address - Fax:707-456-0255
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25257111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC-0252570Medicare ID - Type UnspecifiedLICENSE NUMBER