Provider Demographics
NPI:1740232198
Name:MOROVITS, PAUL F (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:F
Last Name:MOROVITS
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 1:204 W COTTAGE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53527-9211
Mailing Address - Country:US
Mailing Address - Phone:608-839-1172
Mailing Address - Fax:608-839-1174
Practice Address - Street 1:601 E BLACKHAWK AVE
Practice Address - Street 2:
Practice Address - City:PRAIRIE DU CHIEN
Practice Address - State:WI
Practice Address - Zip Code:53821-1651
Practice Address - Country:US
Practice Address - Phone:608-326-2511
Practice Address - Fax:608-326-2167
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00187279OtherRAIL ROAD MEDICARE
WI38902400Medicaid
WIU65693Medicare UPIN
WI38902400Medicaid