Provider Demographics
NPI:1235777996
Name:MORGAN SMITH CHIROPRACTIC PC
Entity Type:Organization
Organization Name:MORGAN SMITH CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:FREDRICK
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:415-496-0992
Mailing Address - Street 1:2489 MISSION ST STE 28
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2474
Mailing Address - Country:US
Mailing Address - Phone:415-496-0992
Mailing Address - Fax:888-974-6127
Practice Address - Street 1:2489 MISSION ST STE 28
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2474
Practice Address - Country:US
Practice Address - Phone:415-496-0992
Practice Address - Fax:888-974-6127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center