Provider Demographics
NPI:1477252401
Name:MACLEARY, MORGAN (DC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:MACLEARY
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 1:966 BENNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:BOX ELDER
Mailing Address - State:SD
Mailing Address - Zip Code:57719-4800
Mailing Address - Country:US
Mailing Address - Phone:605-251-3290
Mailing Address - Fax:
Practice Address - Street 1:405 E OMAHA ST STE D
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-2974
Practice Address - Country:US
Practice Address - Phone:605-348-2116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1460111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor