Shae Nicole Morgan
Sports Medicine Doctor
12891 Indiana Ave Unit 41
Riverside
, California 92503-4679
Shae Nicole Morgan
Sports Medicine Doctor
12891 Indiana Ave Unit 41
Riverside
, California 92503-4679
(714) 319-0985
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Shae Nicole Morgan
- 12891 Indiana Ave Unit 41
- Riverside, CA
- Zip : 92503-4679
- Phone : (714) 319-0985
Second Address
- Shae Nicole Morgan
- 12891 Indiana Ave Unit 41
- Riverside, CA
- Zip : 92503-4679
- Phone : (714) 319-0985
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | BOC325316 | CA |
National Provider Identifier
| NPI | 1578065934 |
|---|---|
| Provider Name | Shae Nicole Morgan |
| First Address | Riverside, CA 92503-4679 |
| Second Address | Riverside, CA 92503-4679 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2018 |
| Last Update Date | 01/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.