Morgan A Seubold, DC
Individual provider Active NPI Chiropractor · Roland, OK
NPI 1174604268 · NPPES record last updated Nov 9, 2007
Key facts
- NPI
- 1174604268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 20060642 (OK)
- Practice address
- 1022 E Ray Fine Blvd
Ste 4
Roland, OK 74954 - Phone
- (918) 427-3630
- Fax
- (918) 427-3681
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1022 Ray Fine Blvd
Suite 4
Roland, OK 74954
Phone (918) 427-3630
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060110001056 | OK | Practitioner - Chiropractic | 4880616408 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20060642 | OK | MD | Chiropractor |
| 3745 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seubold Family Chiropractic Inc | Chiropractor | Current |
Accepting new patients |
Locations
307 E Ray Fine Blvd
Unit 2
Roland, OK 74954
307 E Ray Fine Blvd
Ste 2
Roland, OK 74954
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 20060642 | OK | Yes |
Addresses
Primary practice location
1022 E Ray Fine Blvd
Ste 4
Roland, OK 74954
Mailing address
PO Box 924
Roland, OK 74954-0924
Phone (918) 427-3630
Other providers in Roland, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.