Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 2301010336 | MI |
Y | 111N00000X | Chiropractor | 3919 | SC |
NPI | 1003236720 |
---|---|
Provider Name | Dr. Morgan Crowley |
First Address | Monroe, MI 48162-2968 |
Second Address | Mt Pleasant, SC 29464-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2014 |
Last Update Date | 19/10/2015 |