=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558995985
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MORLEY CHIROPRACTIC WELLNESS PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2020
-----------------------------------------------------
Last Update Date | 01/04/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 337 N JEBAVY DR
-----------------------------------------------------
City | LUDINGTON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49431-2951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-425-3660
-----------------------------------------------------
Fax | 231-425-3661
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 337 N JEBAVY DR
-----------------------------------------------------
City | LUDINGTON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49431-2951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-425-3660
-----------------------------------------------------
Fax | 231-425-3661
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | JEANETTE SNYDER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 231-425-3660
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------