Healthcare Provider Details

I. General information

NPI: 1689983371
Provider Name (Legal Business Name): DANIEL J MORGAN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 WAIANUENUE AVE SUITE 210
HILO HI
96720-2418
US

IV. Provider business mailing address

12-430 LAAU LOKE ST BOX 4787
PAHOA HI
96778-8000
US

V. Phone/Fax

Practice location:
  • Phone: 808-935-7949
  • Fax: 808-935-5996
Mailing address:
  • Phone: 808-965-8128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: