Provider Demographics
NPI:1083713572
Name:MORGANSTERN, TIM JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:TIM
Middle Name:JOSEPH
Last Name:MORGANSTERN
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 1:401 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-1430
Mailing Address - Country:US
Mailing Address - Phone:423-753-8040
Mailing Address - Fax:423-753-8040
Practice Address - Street 1:401 E MAIN ST
Practice Address - Street 2:
Practice Address - City:JONESBOROUGH
Practice Address - State:TN
Practice Address - Zip Code:37659-1430
Practice Address - Country:US
Practice Address - Phone:423-753-8040
Practice Address - Fax:423-753-8040
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3672479Medicare ID - Type Unspecified