Provider Demographics
NPI:1528419660
Name:MORGAN, DONALD
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11094 E BRISTOL RD
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-8733
Mailing Address - Country:US
Mailing Address - Phone:810-964-0865
Mailing Address - Fax:
Practice Address - Street 1:11094 E BRISTOL RD
Practice Address - Street 2:11094 E. BRISTOL ROAD
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-8733
Practice Address - Country:US
Practice Address - Phone:810-964-0865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other