Morgan, Jack Colbert

Morgan, Jack Colbert is an individual health care provider with primary practice located at 6005 Park Avenue Suite 509, Memphis TN 38119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Morgan, Jack Colbert can be contacted via phone (901) 766-7500.

Contact Information

Primary practice address
6005 Park Avenue Suite 509 Memphis TN 38119
Phone: (901) 766-7500
Fax: (901) 766-7550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD8911 Tennessee

Profile Details

NPI number 1215973490
LBN Legal business name Morgan, Jack Colbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215973490 NPPES
Tennessee MEDICAID 3721593
Tennessee Other 2006300

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