Provider Demographics
NPI:1821194226
Name:MURPHY, JAMES J (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
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 1:14619 PURDY DR NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-8708
Mailing Address - Country:US
Mailing Address - Phone:253-857-2147
Mailing Address - Fax:253-851-4090
Practice Address - Street 1:14619 PURDY DR NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-8708
Practice Address - Country:US
Practice Address - Phone:253-857-2147
Practice Address - Fax:253-851-4090
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002116111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2010023Medicaid
WA2010023Medicaid