Provider Demographics
NPI:1417148750
Name:MORAN HEALTH SYSTEM INC
Entity Type:Organization
Organization Name:MORAN HEALTH SYSTEM INC
Other - Org Name:WHOLE HEALTH TRAVERSE CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPER
Authorized Official - Middle Name:
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:231-943-2100
Mailing Address - Street 1:3639 CASS RD
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-9153
Mailing Address - Country:US
Mailing Address - Phone:231-943-2100
Mailing Address - Fax:231-766-6161
Practice Address - Street 1:3639 CASS RD
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-9153
Practice Address - Country:US
Practice Address - Phone:231-943-2100
Practice Address - Fax:231-766-6161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006134111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIDA8082OtherRAIL ROAD MEDICARE
MI0E910270OtherBLUE CROSS BLUE SHIELD
MI0N86920Medicare PIN
MIDA8082OtherRAIL ROAD MEDICARE