Provider Demographics
NPI:1740243120
Name:MORSE, STEPHEN W (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:W
Last Name:MORSE
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 1:612 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:SEA BRIGHT
Mailing Address - State:NJ
Mailing Address - Zip Code:07760-2142
Mailing Address - Country:US
Mailing Address - Phone:732-530-7405
Mailing Address - Fax:732-530-7405
Practice Address - Street 1:22B UNION AVE
Practice Address - Street 2:
Practice Address - City:LAKEHURST
Practice Address - State:NJ
Practice Address - Zip Code:08733-3006
Practice Address - Country:US
Practice Address - Phone:732-323-0244
Practice Address - Fax:732-323-8875
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00356400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
577510Medicare ID - Type Unspecified