Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 38MC00372900 | NJ |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC003962L | PA |
NPI | 1720166143 |
---|---|
Provider Name | Dr. Harry James Morgan |
First Address | Woodbury, NJ 08096-1703 |
Second Address | Woodbury, NJ 08096-1703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5504309 | (05) | NJ |
U22600 | (02) | NJ |