MEDICARE: MORGAN SMITH CHIROPRACTIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1235777996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN SMITH CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	2489 MISSION ST STE 28
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2474
Country	:	US
Telephone Number	:	415-496-0992
Fax Number	:	888-974-6127

Provider Business Practice Location Address
First Line	:	2489 MISSION ST STE 28
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2474
Country	:	US
Telephone Number	:	415-496-0992
Fax Number	:	888-974-6127

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MORGAN FREDRICK SMITH
Credential	:	DC
Telephone Number	:	415-496-0992

Provider Enumeration Date	:	12/12/2019
Last Update Date	:	12/12/2019

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