Provider Demographics
NPI:1699735217
Name:MORGANTE, DAREN C (DC)
Entity type:Individual
Prefix:
First Name:DAREN
Middle Name:C
Last Name:MORGANTE
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 1:4039 MONROEVILLE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2505
Mailing Address - Country:US
Mailing Address - Phone:412-856-1100
Mailing Address - Fax:
Practice Address - Street 1:4039 MONROEVILLE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2505
Practice Address - Country:US
Practice Address - Phone:412-856-1100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009215111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA079565Medicare ID - Type Unspecified
PAU99952Medicare UPIN