Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 1044260 | IN |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 01044260A | IN |
NPI | 1083612691 |
---|---|
Provider Name | John P. Morgan |
First Address | Evansville, IN 47714-1071 |
Second Address | Evansville, IN 47714-1071 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 23/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000108332 | ANTHEM (01) | IN |
200047180A | (05) | IN |
276379 | HEALTHLINK (01) | IN |
F70507 | (02) |