MEDICARE: JEFFREY G MORGAN A PROFESSIONAL CORP

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	207RG0100X	Gastroenterology Physician	01035453	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831357516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY G MORGAN A PROFESSIONAL CORP

Provider Business Mailing Address
First Line	:	104 CONNIE AVE
Second Line	:	STE 108
City	:	SALEM
State	:	IN
Zip	:	47167-2305
Country	:	US
Telephone Number	:	812-883-2696
Fax Number	:	812-883-3706

Provider Business Practice Location Address
First Line	:	104 CONNIE AVE
Second Line	:	STE 108
City	:	SALEM
State	:	IN
Zip	:	47167-2305
Country	:	US
Telephone Number	:	812-883-2696
Fax Number	:	812-883-3706

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFFREY G MORGAN
Credential	:	MD
Telephone Number	:	812-883-2696

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	09/08/2009

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