Provider Demographics
NPI:1578826236
Name:MORGAN, AAFERTI-ELRA ATON-AMON (DC)
Entity Type:Individual
Prefix:
First Name:AAFERTI-ELRA
Middle Name:ATON-AMON
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 CHARTIER
Mailing Address - Street 2:SUITE B
Mailing Address - City:MARINE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48039-2350
Mailing Address - Country:US
Mailing Address - Phone:810-420-0801
Mailing Address - Fax:
Practice Address - Street 1:621 CHARTIER
Practice Address - Street 2:SUITE B
Practice Address - City:MARINE CITY
Practice Address - State:MI
Practice Address - Zip Code:48039-2350
Practice Address - Country:US
Practice Address - Phone:810-420-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009916111N00000X, 111NR0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation