Healthcare Provider Details

I. General information

NPI: 1295095131
Provider Name (Legal Business Name): PAUL EDWARD TURRELL DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 05/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3540 WASHINGTON RD
MC MURRAY PA
15317-2957
US

IV. Provider business mailing address

3540 WASHINGTON RD
MC MURRAY PA
15317-2957
US

V. Phone/Fax

Practice location:
  • Phone: 740-941-0707
  • Fax:
Mailing address:
  • Phone: 740-941-0707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC010606
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: