MEDICARE: DR. JOHN C MURPHY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3307-012	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00406186	OTHER	WI	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891793394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN C MURPHY D.C.

Provider Business Mailing Address
First Line	:	3535 30TH AVE STE 201
Second Line	:
City	:	KENOSHA
State	:	WI
Zip	:	53144-1632
Country	:	US
Telephone Number	:	262-697-7463
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 30TH AVE STE 201
Second Line	:
City	:	KENOSHA
State	:	WI
Zip	:	53144-1632
Country	:	US
Telephone Number	:	262-697-7463
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	11/19/2020

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Directions to “ DR. JOHN C MURPHY D.C.” Practice Location

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