Provider Demographics
NPI:1437631157
Name:MORALES, MARISHELL E (DC)
Entity Type:Individual
Prefix:DR
First Name:MARISHELL
Middle Name:E
Last Name:MORALES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 VAN REYPEN ST APT N6F
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4495
Mailing Address - Country:US
Mailing Address - Phone:917-882-6339
Mailing Address - Fax:
Practice Address - Street 1:97 NEWKIRK STREET
Practice Address - Street 2:SUITE 211
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-3032
Practice Address - Country:US
Practice Address - Phone:917-882-6339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00748700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor