Healthcare Provider Details

I. General information

NPI: 1659352714
Provider Name (Legal Business Name): BRIAN R MURER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 03/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 N PETE ELLIS DR SUITE A
BLOOMINGTON IN
47408-6315
US

IV. Provider business mailing address

104 N PETE ELLIS DR SUITE A
BLOOMINGTON IN
47408-6315
US

V. Phone/Fax

Practice location:
  • Phone: 812-369-4770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002176A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: