Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | S03869 | MD |
Y | 111NR0400X | Rehabilitation Chiropractor | S03869 | MD |
N | 225100000X | Physical Therapist | S03869 | MD |
NPI | 1245691435 |
---|---|
Provider Name | Erik A Murphy |
First Address | Aberdeen, MD 21001-2568 |
Second Address | Aberdeen, MD 21001-2568 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2016 |
Last Update Date | 15/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13787483 | CAQH (01) | MD |