1235569187 NPI number — MORGAN METHOD PLLC

Table of content: (NPI 1235569187)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235569187 NPI number — MORGAN METHOD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MORGAN METHOD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MORGAN CHIROPRACTIC METHOD
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235569187
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/30/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1112 PINEHURST RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUNEDIN
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34698-5427
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-734-1901
Provider Business Mailing Address Fax Number:
727-342-7335

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1112 PINEHURST RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNEDIN
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34698-5427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-734-1901
Provider Business Practice Location Address Fax Number:
727-342-7335
Provider Enumeration Date:
11/13/2013

Additional Information

Authorized Official

Authorized Official Last Name:
MORGAN
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
S
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
727-734-1901

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH5360 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: PT 3765 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: Y2171 . This is a "FL BLUE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: GCY1F . This is a "FL BLUE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com