Provider Demographics
NPI:1922063148
Name:MORLEY, QUENTON NICHOLAS (BSC, DC)
Entity Type:Individual
Prefix:DR
First Name:QUENTON
Middle Name:NICHOLAS
Last Name:MORLEY
Suffix:
Gender:M
Credentials:BSC, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4855 E WARNER RD
Mailing Address - Street 2:# 23
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-3308
Mailing Address - Country:US
Mailing Address - Phone:480-893-3437
Mailing Address - Fax:480-893-3437
Practice Address - Street 1:4855 E WARNER RD
Practice Address - Street 2:# 23
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-3308
Practice Address - Country:US
Practice Address - Phone:480-893-3437
Practice Address - Fax:480-893-3437
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4440111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZWCKNR 02Medicare ID - Type Unspecified
AZU47762Medicare UPIN