Healthcare Provider Details

I. General information

NPI: 1275732828
Provider Name (Legal Business Name): MURVICH CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 08/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W US HIGHWAY 2
NORWAY MI
49870-1175
US

IV. Provider business mailing address

PO BOX 143
NORWAY MI
49870-0143
US

V. Phone/Fax

Practice location:
  • Phone: 906-563-5871
  • Fax: 906-563-5969
Mailing address:
  • Phone: 906-563-5871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6379800001
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDM007809
License Number StateMI

VIII. Authorized Official

Name: DR. DENNIS MURVICH
Title or Position: OWNER
Credential: D.C.
Phone: 906-563-5871