Provider Demographics
NPI:1053559575
Name:EMOLE, MURPHY E N (DC)
Entity type:Individual
Prefix:DR
First Name:MURPHY
Middle Name:E N
Last Name:EMOLE
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 1:3623 MACARTHUR BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-1311
Mailing Address - Country:US
Mailing Address - Phone:510-530-9924
Mailing Address - Fax:510-530-9964
Practice Address - Street 1:3623 MACARTHUR BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-1311
Practice Address - Country:US
Practice Address - Phone:510-530-9924
Practice Address - Fax:510-530-9964
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU90108Medicare UPIN
CADC0256040Medicare PIN