Provider Demographics
NPI:1942325279
Name:MORGAN, CHAD E (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
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 1:321 E 4TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-2412
Mailing Address - Country:US
Mailing Address - Phone:606-330-0319
Mailing Address - Fax:606-257-4722
Practice Address - Street 1:321 E 4TH ST STE 2
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-2412
Practice Address - Country:US
Practice Address - Phone:606-330-0319
Practice Address - Fax:606-389-5087
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4824111N00000X
KY248969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY4824OtherKY BOARD OF CHIROPRACTIC EXAMINERS