Provider Demographics
NPI:1073596284
Name:MORRIS, JAMES S (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:S
Last Name:MORRIS
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 1:100 WESTMORELAND OFFICE CENTER
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:WV
Mailing Address - Zip Code:25064
Mailing Address - Country:US
Mailing Address - Phone:304-768-5068
Mailing Address - Fax:304-768-6251
Practice Address - Street 1:100 WESTMORELAND OFFICE CENTER
Practice Address - Street 2:
Practice Address - City:DUNBAR
Practice Address - State:WV
Practice Address - Zip Code:25064
Practice Address - Country:US
Practice Address - Phone:304-768-5068
Practice Address - Fax:304-768-6251
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV759111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVM04064661Medicare ID - Type Unspecified
WVU88191Medicare UPIN