Provider Demographics
NPI:1851645113
Name:MORGAN, DAVID E (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:MORGAN
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 1:240 N 14TH ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:IL
Mailing Address - Zip Code:62341-1615
Mailing Address - Country:US
Mailing Address - Phone:217-847-3132
Mailing Address - Fax:
Practice Address - Street 1:1390 MULHOLLAND ST
Practice Address - Street 2:
Practice Address - City:NAUVOO
Practice Address - State:IL
Practice Address - Zip Code:62354-1010
Practice Address - Country:US
Practice Address - Phone:217-847-3132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor