Provider Demographics
NPI:1447335674
Name:MURPHY, SUZANNE A (DC)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:A
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 COVE RD
Mailing Address - Street 2:
Mailing Address - City:LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06371-3402
Mailing Address - Country:US
Mailing Address - Phone:860-390-6745
Mailing Address - Fax:860-751-1398
Practice Address - Street 1:81A HALLS RD
Practice Address - Street 2:
Practice Address - City:OLD LYME
Practice Address - State:CT
Practice Address - Zip Code:06371-4420
Practice Address - Country:US
Practice Address - Phone:860-390-6745
Practice Address - Fax:860-751-1398
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001938111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001938OtherSTATE OF CT
NYX007566OtherSTATE LICENSE NUMBER
NYX33691Medicare PIN
CT001938OtherSTATE OF CT