Provider Demographics
NPI:1093852196
Name:MORGAN CHIROPRACTIC,INC
Entity Type:Organization
Organization Name:MORGAN CHIROPRACTIC,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-646-2211
Mailing Address - Street 1:PO BOX 110781
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99511-0781
Mailing Address - Country:US
Mailing Address - Phone:907-646-2211
Mailing Address - Fax:907-646-2212
Practice Address - Street 1:11260 OLD SEWARD HWY STE 106
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3098
Practice Address - Country:US
Practice Address - Phone:907-646-2211
Practice Address - Fax:907-646-2212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK227111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKU24808Medicare UPIN
AK152057Medicare ID - Type Unspecified