Provider Demographics
NPI:1376325621
Name:MORKERT, JAMES ANTHONY
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ANTHONY
Last Name:MORKERT
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 1:3929 N SHERMAN RD
Mailing Address - Street 2:
Mailing Address - City:LUDINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:49431-9562
Mailing Address - Country:US
Mailing Address - Phone:269-503-3028
Mailing Address - Fax:
Practice Address - Street 1:3929 N SHERMAN RD
Practice Address - Street 2:
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-9562
Practice Address - Country:US
Practice Address - Phone:269-503-3028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355A2700XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistAudiology AssistantGroup - Single Specialty