Provider Demographics
NPI:1750857405
Name:HURD, MORGAN DANIEL (DC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:DANIEL
Last Name:HURD
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 1:203 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-2813
Mailing Address - Country:US
Mailing Address - Phone:805-751-5940
Mailing Address - Fax:
Practice Address - Street 1:203 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-2813
Practice Address - Country:US
Practice Address - Phone:805-751-5940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-21
Last Update Date:2018-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor