Provider Demographics
NPI:1518396381
Name:MORGAN, ANNIE CATHERINE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:CATHERINE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ANNIE
Other - Middle Name:CATHERINE
Other - Last Name:BERNSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:401 N MECHANIC ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-1306
Mailing Address - Country:US
Mailing Address - Phone:517-513-3250
Mailing Address - Fax:
Practice Address - Street 1:401 N MECHANIC ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1306
Practice Address - Country:US
Practice Address - Phone:517-513-3250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-02
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010108111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor