Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC-007145-L | PA |
N | 111NX0100X | Occupational Health | AJ-007145-L | PA |
NPI | 1568432177 |
---|---|
Provider Name | Chris Douglas Morgenstern |
First Address | Gettysburg, PA 17325-7779 |
Second Address | Gettysburg, PA 17325-1132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 30/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MO976218 | HIGHMARK BLUE SHIELD (01) | PA |
U91930 | (02) | PA |