Healthcare Provider Details

I. General information

NPI: 1184622102
Provider Name (Legal Business Name): JOSEPH MURPHY CRUM SR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 BOARDMAN CANFIELD RD SUITE 11
BOARDMAN OH
44512-4237
US

IV. Provider business mailing address

945 BOARDMAN CANFIELD ROAD SUITE 11
BOARDMAN OH
44512-4237
US

V. Phone/Fax

Practice location:
  • Phone: 330-726-8164
  • Fax: 330-726-8652
Mailing address:
  • Phone: 330-726-8164
  • Fax: 330-726-8652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number82000818
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number818
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: