Provider Demographics
NPI:1396027413
Name:PATTISON, MORGAN ALEXANDER (DC)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:ALEXANDER
Last Name:PATTISON
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 1:119 TOWNE SQUARE WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3254
Mailing Address - Country:US
Mailing Address - Phone:724-448-5710
Mailing Address - Fax:
Practice Address - Street 1:119 TOWNE SQUARE WAY
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:PA
Practice Address - Zip Code:15227-3254
Practice Address - Country:US
Practice Address - Phone:724-448-5710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010416111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor