Provider Demographics
NPI:1649329707
Name:MORGAN, JAMES WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
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 1:5 N MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-2317
Mailing Address - Country:US
Mailing Address - Phone:508-359-5200
Mailing Address - Fax:508-359-5256
Practice Address - Street 1:5 N MEADOWS RD
Practice Address - Street 2:
Practice Address - City:MEDFIELD
Practice Address - State:MA
Practice Address - Zip Code:02052-2317
Practice Address - Country:US
Practice Address - Phone:508-359-5200
Practice Address - Fax:508-359-5256
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1576111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA771879OtherTUFTS
MAY36106OtherBLUE CROSS BLUE SHIELD
MA210927OtherACN
MA2914571OtherAETNA
MA88758OtherCIGNA
MA35247OtherHARVARD PILGRIM
MAY36106OtherBLUE CROSS BLUE SHIELD