Provider Demographics
NPI:1760786321
Name:MORGAN CHIROPRACTIC CLINIC LLC
Entity Type:Organization
Organization Name:MORGAN CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARDEN
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:740-374-2225
Mailing Address - Street 1:901 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-1857
Mailing Address - Country:US
Mailing Address - Phone:740-374-2225
Mailing Address - Fax:740-374-3956
Practice Address - Street 1:901 3RD ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1857
Practice Address - Country:US
Practice Address - Phone:740-374-2225
Practice Address - Fax:740-374-3956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty