Provider Demographics
NPI:1649262973
Name:MURPHY, NEIL L (DC)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:L
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 1:1820 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-1149
Mailing Address - Country:US
Mailing Address - Phone:814-455-6262
Mailing Address - Fax:814-453-6805
Practice Address - Street 1:1820 W 26TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-1149
Practice Address - Country:US
Practice Address - Phone:814-455-6262
Practice Address - Fax:814-453-6805
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC6200L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001550980002Medicaid
AD438948OtherBCBS OF PA
PA001550980002Medicaid
MU800101Medicare ID - Type Unspecified