Healthcare Provider Details

I. General information

NPI: 1417990540
Provider Name (Legal Business Name): CHRISTOPHER PAUL MURBARGER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 W NORTH AVE
FLORA IL
62839-1243
US

IV. Provider business mailing address

432 W NORTH AVE
FLORA IL
62839-1243
US

V. Phone/Fax

Practice location:
  • Phone: 618-662-2334
  • Fax: 618-662-2332
Mailing address:
  • Phone: 618-662-2334
  • Fax: 618-662-2332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038012169
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: