Individual
JACK L MURRAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12 DECATUR ST, CUMBERLAND, MD 21502-2412
(301) 722-4400
(301) 722-5527
Mailing address
12 DECATUR ST, CUMBERLAND, MD 21502-2412
(301) 722-4400
(301) 722-5527
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01103
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016817
WV WORKERS COMP#
MD
01
—
258280
MAMSI #
MD
01
—
629436
ACN #
MD
01
—
7998875
ASHN #
MD
01
—
M533JL
BLUE CROSS PIN
MD
01
—
W2170001
DC BLUE CROSS #
MD
Enumeration date
02/10/2006
Last updated
01/11/2008
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