Provider Demographics
NPI:1104993856
Name:MURVICH, DENNIS A (DC)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:A
Last Name:MURVICH
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 1:415 W. U.S. 2
Mailing Address - Street 2:P.O. BOX 143
Mailing Address - City:NORWAY
Mailing Address - State:MI
Mailing Address - Zip Code:49870
Mailing Address - Country:US
Mailing Address - Phone:906-563-5871
Mailing Address - Fax:906-563-5969
Practice Address - Street 1:415 W. U.S. 2
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:MI
Practice Address - Zip Code:49870
Practice Address - Country:US
Practice Address - Phone:906-563-5871
Practice Address - Fax:906-563-5969
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDM007809111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP2914002Medicare PIN