Healthcare Provider Details

I. General information

NPI: 1912205006
Provider Name (Legal Business Name): MORGAN'S FAMILY CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2011
Last Update Date: 03/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 N STATE ST
MORGAN UT
84050-9919
US

IV. Provider business mailing address

PO BOX 135
MORGAN UT
84050-0135
US

V. Phone/Fax

Practice location:
  • Phone: 801-845-8156
  • Fax:
Mailing address:
  • Phone: 801-845-8156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7443715-1202
License Number StateUT

VIII. Authorized Official

Name: DR. RYAN E EVERHART
Title or Position: OWNER
Credential: D.C.
Phone: 801-845-8156