Provider Demographics
NPI:1114151172
Name:MACBEAN, MORGAN ELIZABETH (DC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:ELIZABETH
Last Name:MACBEAN
Suffix:
Gender:F
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:PO BOX 1585
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NH
Mailing Address - Zip Code:03049-1585
Mailing Address - Country:US
Mailing Address - Phone:603-465-2235
Mailing Address - Fax:603-465-2236
Practice Address - Street 1:4 MARKET PLACE
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NH
Practice Address - Zip Code:03049
Practice Address - Country:US
Practice Address - Phone:603-465-2235
Practice Address - Fax:603-465-2236
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor