Healthcare Provider Details

I. General information

NPI: 1336280379
Provider Name (Legal Business Name): W. MICHAEL SPURLOCK, D.C., P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 03/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 FLEMINGSBURG RD
MOREHEAD KY
40351-1810
US

IV. Provider business mailing address

1350 FLEMINGSBURG RD
MOREHEAD KY
40351-1810
US

V. Phone/Fax

Practice location:
  • Phone: 606-784-1115
  • Fax: 606-784-2794
Mailing address:
  • Phone: 606-784-1115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberKY3832
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number41251
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number34560
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1097964
License Number StateKY
# 7
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM MICHAEL SPURLOCK
Title or Position: PRESIDENT
Credential: D.C.
Phone: 606-784-1115