Provider Demographics
NPI:1790033504
Name:MORGAN, NICHOLAS (ND)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 N CEDAR ST
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-5334
Mailing Address - Country:US
Mailing Address - Phone:517-455-7455
Mailing Address - Fax:517-940-4372
Practice Address - Street 1:1106 N CEDAR ST STE 2A
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-5334
Practice Address - Country:US
Practice Address - Phone:517-455-7455
Practice Address - Fax:517-940-4372
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2015-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8303602-7100175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath