=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235347295
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MURPHY CLINIC OF CHIROPRACTIC INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2007
-----------------------------------------------------
Last Update Date | 02/28/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5104 CEDAR VILLAGE DR
-----------------------------------------------------
City | MASON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45040-3717
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-398-6452
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5104 CEDAR VILLAGE DR
-----------------------------------------------------
City | MASON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45040-3717
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-398-6452
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. TERRENCE DANIEL MURPHY
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 513-398-6452
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 3306
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------