Provider Demographics
NPI:1023004769
Name:MORROW, PAUL ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ERIC
Last Name:MORROW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1399 HASLETT RD
Mailing Address - Street 2:P.O. BOX 450
Mailing Address - City:HASLETT
Mailing Address - State:MI
Mailing Address - Zip Code:48840-8993
Mailing Address - Country:US
Mailing Address - Phone:517-339-1304
Mailing Address - Fax:517-339-1305
Practice Address - Street 1:1399 HASLETT RD
Practice Address - Street 2:
Practice Address - City:HASLETT
Practice Address - State:MI
Practice Address - Zip Code:48840-8993
Practice Address - Country:US
Practice Address - Phone:517-339-1304
Practice Address - Fax:517-339-1305
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005041111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950C35000OtherBCN
MI350015960OtherPALMETTO GBA RR MEDICARE
MI44-70009Medicaid
MI44-00009OtherPHP OF MID-MICHIGAN
MI950C35000OtherBCBS
MI950C35000OtherBCN
MI44-70009Medicaid