Provider Demographics
NPI:1447865597
Name:FAMILY CHIROPRACTIC OF ROCKY HILL
Entity type:Organization
Organization Name:FAMILY CHIROPRACTIC OF ROCKY HILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-372-4848
Mailing Address - Street 1:28 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-1516
Mailing Address - Country:US
Mailing Address - Phone:860-372-4848
Mailing Address - Fax:
Practice Address - Street 1:28 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-1516
Practice Address - Country:US
Practice Address - Phone:860-372-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty