Morton Healthcare PC
Organization Active NPI Chiropractor · Vicksburg, MI
NPI 1508068669 · NPPES record last updated Jul 10, 2007
Key facts
- NPI
- 1508068669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301008085 (MI)
- Legal business name
- MORTON HEALTHCARE PC
- Practice address
- 12840 Sprinkle Rd
#3
Vicksburg, MI 49097-8395 - Phone
- (269) 649-0800
- Fax
- (269) 649-4000
- NPI assigned
- Jun 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Dustin Morton
- Title
- President
- Phone
- (269) 649-0800
Practitioners 2
-
Dustin Jon Morton, D.C.
-
Carol Marie Jaworski, RDH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070710000355 | MI | Part B Supplier - Clinic/Group Practice | 3173623907 |
Receives reassigned benefits from 1 practitioner Practice locations: Vicksburg, MI |
National Provider Directory
Locations
12840 Sprinkle Rd
Ste 3
Vicksburg, MI 49097
Phone (269) 649-0800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2301008085 | MI | Yes |
Addresses
Primary practice location
12840 Sprinkle Rd
#3
Vicksburg, MI 49097-8395
Mailing address
12840 Sprinkle Rd
#3
Vicksburg, MI 49097-8395
Phone (269) 649-0800
Other names
- Morton Family Chiropractic
Other providers in Vicksburg, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.