Provider Demographics
NPI:1871045369
Name:MCARTHUR, MORGAN ANNE
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ANNE
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 CLOVER RIDGE CT
Mailing Address - Street 2:APT 301
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-6637
Mailing Address - Country:US
Mailing Address - Phone:440-263-6084
Mailing Address - Fax:
Practice Address - Street 1:3450 CLOVER RIDGE CT
Practice Address - Street 2:APT 301
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-6637
Practice Address - Country:US
Practice Address - Phone:440-263-6084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer