Provider Demographics
NPI:1134561665
Name:MURRAY CHIROPRACTIC AND ACUPUNCTURE, LLC
Entity type:Organization
Organization Name:MURRAY CHIROPRACTIC AND ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:QUINTIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:217-728-8888
Mailing Address - Street 1:PO BOX 408
Mailing Address - Street 2:
Mailing Address - City:SULLIVAN
Mailing Address - State:IL
Mailing Address - Zip Code:61951-0408
Mailing Address - Country:US
Mailing Address - Phone:217-728-8888
Mailing Address - Fax:217-728-8801
Practice Address - Street 1:221 N ANDERSON ST
Practice Address - Street 2:
Practice Address - City:SULLIVAN
Practice Address - State:IL
Practice Address - Zip Code:61951-1001
Practice Address - Country:US
Practice Address - Phone:217-728-8888
Practice Address - Fax:217-728-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty