Provider Demographics
NPI:1265407951
Name:MORGAN FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:MORGAN FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:RUTGERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-774-1111
Mailing Address - Street 1:1017 MAIN ST E
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:PA
Mailing Address - Zip Code:16417-9747
Mailing Address - Country:US
Mailing Address - Phone:814-774-1111
Mailing Address - Fax:814-774-1116
Practice Address - Street 1:1017 MAIN ST E
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:PA
Practice Address - Zip Code:16417-9747
Practice Address - Country:US
Practice Address - Phone:814-774-1111
Practice Address - Fax:814-774-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA082071S1KMedicare ID - Type Unspecified