MEDICARE: CORRINE MORGAN D.C.

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	111N00000X	Chiropractor	DC003397L	PA

General Provider Information

NPI Number	:	1245338854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORRINE MORGAN D.C.

Provider Business Mailing Address
First Line	:	1019 CHRISTIAN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-3707
Country	:	US
Telephone Number	:	215-922-4782
Fax Number	:	215-440-7539

Provider Business Practice Location Address
First Line	:	1019 CHRISTIAN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-3707
Country	:	US
Telephone Number	:	215-922-4782
Fax Number	:	215-440-7539

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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