Provider Demographics
NPI:1912205006
Name:MORGAN'S FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:MORGAN'S FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:EVERHART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-845-8156
Mailing Address - Street 1:PO BOX 135
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84050-0135
Mailing Address - Country:US
Mailing Address - Phone:801-845-8156
Mailing Address - Fax:
Practice Address - Street 1:151 N STATE ST
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:UT
Practice Address - Zip Code:84050-9919
Practice Address - Country:US
Practice Address - Phone:801-845-8156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7443715-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty