Provider Demographics
NPI:1932378577
Name:BAKER, MORGAN JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:JEAN
Last Name:BAKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:JEAN
Other - Last Name:HARTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2121 CLIFF DR STE 112
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-3335
Mailing Address - Country:US
Mailing Address - Phone:651-756-1953
Mailing Address - Fax:866-653-8784
Practice Address - Street 1:2121 CLIFF DR STE 112
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-3335
Practice Address - Country:US
Practice Address - Phone:651-756-1953
Practice Address - Fax:866-653-8784
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor