Provider Demographics
NPI:1386623064
Name:MORGAN, JAMES E (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
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:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:IN
Mailing Address - Zip Code:46910-0068
Mailing Address - Country:US
Mailing Address - Phone:574-893-4131
Mailing Address - Fax:
Practice Address - Street 1:12106 E STATE ROAD 114
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:IN
Practice Address - Zip Code:46910-0068
Practice Address - Country:US
Practice Address - Phone:574-893-4131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000301565OtherBLUE CROSS/BLUE SHIELD
IN000000301565OtherBLUE CROSS/BLUE SHIELD
IN270470Medicare ID - Type Unspecified