Provider Demographics
NPI:1669426912
Name:MORGAN-RICH, MARNIE ANN (DC)
Entity type:Individual
Prefix:DR
First Name:MARNIE
Middle Name:ANN
Last Name:MORGAN-RICH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MARNIE
Other - Middle Name:ANN
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:214 DARTMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-4514
Mailing Address - Country:US
Mailing Address - Phone:989-832-4400
Mailing Address - Fax:989-832-4424
Practice Address - Street 1:214 DARTMOUTH DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-4514
Practice Address - Country:US
Practice Address - Phone:989-832-4400
Practice Address - Fax:989-832-4424
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009175111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4859645Medicaid