Provider Demographics
NPI:1619672094
Name:THOMPSON, MORGAN STUBBENDIECK (DC)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:STUBBENDIECK
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MORGAN
Other - Middle Name:MICHELE
Other - Last Name:STUBBENDIECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1495 GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-1537
Mailing Address - Country:US
Mailing Address - Phone:740-404-6487
Mailing Address - Fax:
Practice Address - Street 1:1495 GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-1537
Practice Address - Country:US
Practice Address - Phone:740-404-6487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05254111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor