Provider Demographics
NPI:1104272855
Name:MURTLAND, NICHOLAS CURBY (DC)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:CURBY
Last Name:MURTLAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7846 COX RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2403
Mailing Address - Country:US
Mailing Address - Phone:513-779-2400
Mailing Address - Fax:513-779-2444
Practice Address - Street 1:7846 COX RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2403
Practice Address - Country:US
Practice Address - Phone:513-779-2400
Practice Address - Fax:513-779-2444
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-12
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4626111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0372282Medicaid