Provider Demographics
NPI:1245217827
Name:MORGENSTERN, JAMES R (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:MORGENSTERN
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 1:1055 NILES CORTLAND RD SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2540
Mailing Address - Country:US
Mailing Address - Phone:330-856-9333
Mailing Address - Fax:330-856-9382
Practice Address - Street 1:1055 NILES CORTLAND RD SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2540
Practice Address - Country:US
Practice Address - Phone:330-856-9333
Practice Address - Fax:330-856-9382
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH863111N00000X
PA2015L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000137564OtherANTHEM PIN
OH0453610Medicaid
OHH197891Medicare PIN
OH000000137564OtherANTHEM PIN
OHT47242Medicare UPIN