Healthcare Provider Details

I. General information

NPI: 1548443385
Provider Name (Legal Business Name): JOEL MORGAN N.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2007
Last Update Date: 03/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 BLUE RAVINE RD
FOLSOM CA
95630-4748
US

IV. Provider business mailing address

230 BLUE RAVINE RD
FOLSOM CA
95630-4748
US

V. Phone/Fax

Practice location:
  • Phone: 916-351-5600
  • Fax: 916-351-5600
Mailing address:
  • Phone: 916-351-5600
  • Fax: 916-351-5600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-474
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number07-1032
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: