Provider Demographics
NPI:1437955051
Name:MURPHY, ALLEN BLAIN
Entity type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:BLAIN
Last Name:MURPHY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1291 LOCUST FORGE LN
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8545
Mailing Address - Country:US
Mailing Address - Phone:937-312-4393
Mailing Address - Fax:
Practice Address - Street 1:289 TRIPLE CROWN DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-8022
Practice Address - Country:US
Practice Address - Phone:937-312-4393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5718165374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide