Provider Demographics
NPI:1952684409
Name:MORGAN CHIROPRACTIC
Entity Type:Organization
Organization Name:MORGAN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-332-4949
Mailing Address - Street 1:15255 HIGHWAY 43 STE 3
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35653-1925
Mailing Address - Country:US
Mailing Address - Phone:256-332-4949
Mailing Address - Fax:256-332-4943
Practice Address - Street 1:15255 HIGHWAY 43 STE 3
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35653-1925
Practice Address - Country:US
Practice Address - Phone:256-332-4949
Practice Address - Fax:256-332-4943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU59351Medicare UPIN